Provider Demographics
NPI:1740255330
Name:ARANEZ, JOSE T (MD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:T
Last Name:ARANEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4402
Mailing Address - Country:US
Mailing Address - Phone:818-848-1420
Mailing Address - Fax:818-848-3785
Practice Address - Street 1:2701 W ALAMEDA AVE
Practice Address - Street 2:SUITE 407
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505
Practice Address - Country:US
Practice Address - Phone:818-848-1420
Practice Address - Fax:818-848-3785
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51587207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0236248Medicaid
OH2131268Medicaid
P00743583OtherRR MEDICARE
OH2131268Medicaid
P00743583OtherRR MEDICARE
OH4161511Medicare ID - Type Unspecified
OH0236248Medicaid
CACT143YMedicare PIN