MEDICARE: COLIN B ARNOLD M.D.

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	207W00000X	Ophthalmology Physician	G47416	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G47416	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1316949779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLIN B ARNOLD M.D.

Provider Business Mailing Address
First Line	:	7501 HOSPITAL DR
Second Line	:	#105
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5405
Country	:	US
Telephone Number	:	916-423-4040
Fax Number	:	916-689-2100

Provider Business Practice Location Address
First Line	:	7501 HOSPITAL DR
Second Line	:	#105
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-5405
Country	:	US
Telephone Number	:	916-423-4040
Fax Number	:	916-689-2100

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	02/10/2015

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