MEDICARE: DR. LORI ARNOLD M.D.,F.A.C.O.G

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	174400000X	Specialist	681939	CA

General Provider Information

NPI Number	:	1740341957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORI ARNOLD M.D.,F.A.C.O.G

Provider Business Mailing Address
First Line	:	PO BOX 1318
Second Line	:
City	:	LA JOLLA
State	:	CA
Zip	:	92038-1318
Country	:	US
Telephone Number	:	619-397-2950
Fax Number	:

Provider Business Practice Location Address
First Line	:	752 MEDICAL CENTER CT STE 207
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91911-6660
Country	:	US
Telephone Number	:	619-397-2950
Fax Number	:	619-397-4649

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	07/08/2007

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