Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | A120908 | CA |
NPI | 1245460237 |
---|---|
Provider Name | Elizabeth Anne Arena |
First Address | Santa Monica, CA 90404-2302 |
Second Address | Santa Monica, CA 90404-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2009 |
Last Update Date | 31/05/2012 |