Healthcare Provider Details

I. General information

NPI: 1235302589
Provider Name (Legal Business Name): ARVIN ARTHUR MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 J ST SUITE 300
SACRAMENTO CA
95819-3631
US

IV. Provider business mailing address

3151 OAK CLIFF CIR
CARMICHAEL CA
95608-4571
US

V. Phone/Fax

Practice location:
  • Phone: 916-452-2011
  • Fax: 916-452-2234
Mailing address:
  • Phone: 916-452-2011
  • Fax: 916-452-2234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberC37057
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC37057
License Number StateCA

VIII. Authorized Official

Name: MRS. SUSAN WAGNER ARTHUR
Title or Position: SECRETARY
Credential: RN
Phone: 916-452-2011