Healthcare Provider Details

I. General information

NPI: 1558572610
Provider Name (Legal Business Name): ARTHUR AN M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 N 1ST AVE
ARCADIA CA
91006-7401
US

IV. Provider business mailing address

1015 N 1ST AVE
ARCADIA CA
91006-7401
US

V. Phone/Fax

Practice location:
  • Phone: 626-566-2866
  • Fax: 626-566-2850
Mailing address:
  • Phone: 626-566-2866
  • Fax: 626-566-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA61877
License Number StateCA

VIII. Authorized Official

Name: LYNNA DEL CASTILLO
Title or Position: BILLING ADMINISTRATOR
Credential:
Phone: 626-827-6806