Healthcare Provider Details

I. General information

NPI: 1225949191
Provider Name (Legal Business Name): SCOTT THOMAS ARNOLD II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 RUFFIN CT
SAN DIEGO CA
92123-5300
US

IV. Provider business mailing address

5763 MISSION CENTER RD APT 315
SAN DIEGO CA
92108-4359
US

V. Phone/Fax

Practice location:
  • Phone: 858-514-4600
  • Fax:
Mailing address:
  • Phone: 781-856-1897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080C0008X
TaxonomyChild Abuse Pediatrics Physician
License Number95390725
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: