Healthcare Provider Details

I. General information

NPI: 1407129539
Provider Name (Legal Business Name): ARTHUR SNYDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3558 VISTA HAVEN RD
SHERMAN OAKS CA
91403-4331
US

IV. Provider business mailing address

3558 VISTA HAVEN RD
SHERMAN OAKS CA
91403-4331
US

V. Phone/Fax

Practice location:
  • Phone: 818-783-3439
  • Fax: 818-783-2883
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberC18077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: