Healthcare Provider Details

I. General information

NPI: 1386950897
Provider Name (Legal Business Name): MR. IZMAEL DAVID ARKIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2010
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 E GOBBI ST
UKIAH CA
95482-5559
US

IV. Provider business mailing address

4161 BLACK BART TRL
REDWOOD VALLEY CA
95470-6237
US

V. Phone/Fax

Practice location:
  • Phone: 707-463-3300
  • Fax:
Mailing address:
  • Phone: 707-485-4064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: