Healthcare Provider Details
I. General information
NPI: 1689607046
Provider Name (Legal Business Name): ARROW MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21304 E ARROW HWY
COVINA CA
91724-1442
US
IV. Provider business mailing address
21304 E ARROW HWY
COVINA CA
91724-1442
US
V. Phone/Fax
- Phone: 626-915-2055
- Fax: 626-915-2098
- Phone: 626-915-2055
- Fax: 626-915-2098
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | A31070 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
RODOLFO
E.
MAGSINO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-915-2055