Provider Demographics
NPI:1922806827
Name:ARABIA, MARVYN OTONIEL
Entity type:Individual
Prefix:MR
First Name:MARVYN
Middle Name:OTONIEL
Last Name:ARABIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 STUMP DR
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6938
Mailing Address - Country:US
Mailing Address - Phone:530-410-1474
Mailing Address - Fax:
Practice Address - Street 1:2237 STUMP DR
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6938
Practice Address - Country:US
Practice Address - Phone:530-410-1474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)