Healthcare Provider Details

I. General information

NPI: 1912104381
Provider Name (Legal Business Name): JAHMI LEHA ARNOLD IDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAHMI LEHA PHIEL IDC

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 LOS ALAMOS WAY UNIT B
OCEANSIDE CA
92057-7829
US

IV. Provider business mailing address

4625 LOS ALAMOS WAY UNIT B
OCEANSIDE CA
92057-7829
US

V. Phone/Fax

Practice location:
  • Phone: 760-805-6208
  • Fax:
Mailing address:
  • Phone: 760-805-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: