Healthcare Provider Details

I. General information

NPI: 1396584561
Provider Name (Legal Business Name): ARROW HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 S KINGSLEY DR APT 305
LOS ANGELES CA
90020-3443
US

IV. Provider business mailing address

318 S KINGSLEY DR APT 305
LOS ANGELES CA
90020-3443
US

V. Phone/Fax

Practice location:
  • Phone: 213-215-8226
  • Fax:
Mailing address:
  • Phone: 213-215-8226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. ROMAN ZAHN HARVEY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: BS, MS
Phone: 213-215-8226