Provider Demographics
NPI:1871884122
Name:ARIAS, REBECA ALEJANDRA (MD)
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:ALEJANDRA
Last Name:ARIAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4198 N SUNSET ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1419
Mailing Address - Country:US
Mailing Address - Phone:714-331-2345
Mailing Address - Fax:714-285-0389
Practice Address - Street 1:2360 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-3051
Practice Address - Country:US
Practice Address - Phone:562-461-1179
Practice Address - Fax:562-804-0865
Is Sole Proprietor?:No
Enumeration Date:2011-04-20
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123309208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics