Provider Demographics
NPI:1649040650
Name:ARBELAEZ, DIANA MARCELA
Entity type:Individual
Prefix:
First Name:DIANA
Middle Name:MARCELA
Last Name:ARBELAEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2627
Mailing Address - Country:US
Mailing Address - Phone:714-480-6600
Mailing Address - Fax:714-568-4527
Practice Address - Street 1:500 CITY PKWY W
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2941
Practice Address - Country:US
Practice Address - Phone:714-480-6600
Practice Address - Fax:714-568-4527
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist