MEDICARE: ARSHAD JIFFRY 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	208000000X	Pediatrics Physician	A130065	CA
2	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	A130065	CA

General Provider Information

NPI Number	:	1922494913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARSHAD JIFFRY M.D.

Provider Business Mailing Address
First Line	:	1920 MESA VIEW LN
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92373-6968
Country	:	US
Telephone Number	:	909-747-7542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1920 MESA VIEW LN
Second Line	:
City	:	REDLANDS
State	:	CA
Zip	:	92373-6968
Country	:	US
Telephone Number	:	909-747-7542
Fax Number	:

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

Provider Enumeration Date	:	04/07/2015
Last Update Date	:	10/15/2024

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