Healthcare Provider Details

I. General information

NPI: 1811937824
Provider Name (Legal Business Name): STEVEN C ARENDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 11/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72780 COUNTRY CLUB DR BUILDING B SUITE 205
RANCHO MIRAGE CA
92270-4126
US

IV. Provider business mailing address

39000 BOB HOPE DR LCCC 2ND FLOOR
RANCHO MIRAGE CA
92270-3221
US

V. Phone/Fax

Practice location:
  • Phone: 760-834-7900
  • Fax: 760-834-7901
Mailing address:
  • Phone: 760-674-3647
  • Fax: 760-674-3629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00021697
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG88783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: