Healthcare Provider Details

I. General information

NPI: 1962684282
Provider Name (Legal Business Name): ARTHUR R TOLENTINO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ARTHUR R TOLENTINO MD

II. Dates (important events)

Enumeration Date: 11/28/2007
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MERCY AVE
MERCED CA
95340
US

IV. Provider business mailing address

315 MERCY AVE
MERCED CA
95340-8363
US

V. Phone/Fax

Practice location:
  • Phone: 209-564-3120
  • Fax: 209-564-3138
Mailing address:
  • Phone: 209-564-3120
  • Fax: 209-564-3138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberC52281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: