Individual
MR. RANDY ARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 379-3790
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-KTCRWB
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
942295953
UPLIFT FAMILY SERVICES
CA
Enumeration date
01/20/2022
Last updated
08/29/2024
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