Healthcare Provider Details

I. General information

NPI: 1922218213
Provider Name (Legal Business Name): ARNOLD A COTA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 01/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 BROADWAY ST
EL CENTRO CA
92243-2418
US

IV. Provider business mailing address

546 BROADWAY ST
EL CENTRO CA
92243-2418
US

V. Phone/Fax

Practice location:
  • Phone: 760-353-1346
  • Fax: 760-353-2679
Mailing address:
  • Phone: 760-353-1346
  • Fax: 760-353-2679

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC13295
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: