MEDICARE: ARTHUR AMADOR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35952	KY
2	2084P0800X	Psychiatry Physician	C52414	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043203466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR AMADOR MD

Provider Business Mailing Address
First Line	:	769 W BLAINE ST STE B
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-3970
Country	:	US
Telephone Number	:	951-358-4705
Fax Number	:	951-358-4719

Provider Business Practice Location Address
First Line	:	769 W BLAINE ST STE B
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92507-3970
Country	:	US
Telephone Number	:	951-358-4705
Fax Number	:	951-358-4719

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	12/09/2010

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Directions to “ ARTHUR AMADOR MD” Practice Location

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