Individual
ATHENA CELESTE ARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2219 E 1ST ST, LOS ANGELES, CA 90033-3901
(888) 499-9303
Mailing address
2219 E 1ST ST, LOS ANGELES, CA 90033-3901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A164165
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4992118
DRIVER LICENSE
CA
Enumeration date
03/22/2018
Last updated
12/27/2021
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