Provider Demographics
NPI:1871284174
Name:ARAKI, CHADRON JR
Entity type:Individual
Prefix:
First Name:CHADRON
Middle Name:
Last Name:ARAKI
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:RONNI
Other - Middle Name:
Other - Last Name:ARAKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:615 E 3RD ST # 307
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-1906
Mailing Address - Country:US
Mailing Address - Phone:808-517-6547
Mailing Address - Fax:
Practice Address - Street 1:795 E SECOND ST.
Practice Address - Street 2:THIRD FLOOR, SUITE 8
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766
Practice Address - Country:US
Practice Address - Phone:909-706-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program