Provider Demographics
NPI:1952013500
Name:ARCEO, EDWIN TOBBEE (APRN)
Entity Type:Individual
Prefix:
First Name:EDWIN TOBBEE
Middle Name:
Last Name:ARCEO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:EDWIN TOBBEE
Other - Middle Name:YAP
Other - Last Name:ARCEO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:2677 W SERENO PL
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-2018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2677 W SERENO PL
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-2018
Practice Address - Country:US
Practice Address - Phone:951-816-7267
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-14
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA781877163WC1600X, 163W00000X, 163WA2000X
CA95024134363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator