Healthcare Provider Details

I. General information

NPI: 1649261413
Provider Name (Legal Business Name): AARCHAN R JOSHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 N PROSPECT AVE SUITE 206
REDONDO BEACH CA
90277-3041
US

IV. Provider business mailing address

520 N PROSPECT AVE SUITE 206
REDONDO BEACH CA
90277-3041
US

V. Phone/Fax

Practice location:
  • Phone: 310-376-8850
  • Fax: 310-798-9228
Mailing address:
  • Phone: 310-376-8850
  • Fax: 310-798-9228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA60513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: