Healthcare Provider Details

I. General information

NPI: 1992864995
Provider Name (Legal Business Name): ARPOM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 09/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 N FAIR OAKS AVE
PASADENA CA
91103
US

IV. Provider business mailing address

1920 N FAIR OAKS AVE
PASADENA CA
91103
US

V. Phone/Fax

Practice location:
  • Phone: 606-798-6777
  • Fax: 626-798-7742
Mailing address:
  • Phone: 606-798-6777
  • Fax: 626-798-7742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number970000078
License Number StateCA

VIII. Authorized Official

Name: MR. PHILIP S ROSALES
Title or Position: PRESIDENT
Credential:
Phone: 626-798-6777