Healthcare Provider Details

I. General information

NPI: 1528024544
Provider Name (Legal Business Name): JOSEPH MICHAEL ARCIDI JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 DOLBEER ST
EUREKA CA
95501-4736
US

IV. Provider business mailing address

608 MARTIN WAY
EUREKA CA
95503-6457
US

V. Phone/Fax

Practice location:
  • Phone: 707-445-8121
  • Fax: 707-407-6113
Mailing address:
  • Phone: 810-513-9232
  • Fax: 508-519-0465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberC50460
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number4301097553
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: