Basic Information
Provider Information
NPI: 1386045698
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OCASIO
FirstName: ARTHUR
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1200 WILSHIRE BLVD STE 300
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900171931
CountryCode: US
TelephoneNumber: 2134817464
FaxNumber: 2134817147
Practice Location
Address1: 1200 WILSHIRE BLVD STE 300
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900171931
CountryCode: US
TelephoneNumber: 2134817464
FaxNumber: 2134817147
Other Information
ProviderEnumerationDate: 09/06/2014
LastUpdateDate: 11/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XASW88881CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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