Healthcare Provider Details

I. General information

NPI: 1396728564
Provider Name (Legal Business Name): MUHAMMAD ARIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2005
Last Update Date: 03/07/2023
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 N STATE ST
SAN JACINTO CA
92583-6573
US

IV. Provider business mailing address

311 W I ST
LOS BANOS CA
93635-3479
US

V. Phone/Fax

Practice location:
  • Phone: 951-487-8506
  • Fax:
Mailing address:
  • Phone: 209-628-8148
  • Fax: 209-826-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA87726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: