Healthcare Provider Details

I. General information

NPI: 1487701850
Provider Name (Legal Business Name): BARBARA J ARNOLD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7551 TIMBERLAKE WAY STE 100
SACRAMENTO CA
95823-5421
US

IV. Provider business mailing address

7551 TIMBERLAKE WAY STE 100
SACRAMENTO CA
95823-5421
US

V. Phone/Fax

Practice location:
  • Phone: 916-525-2020
  • Fax: 916-525-2030
Mailing address:
  • Phone: 916-525-2020
  • Fax: 916-525-2030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG24407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: