Healthcare Provider Details

I. General information

NPI: 1679830749
Provider Name (Legal Business Name): ARNOLD PHILIP DEUTSCH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2012
Last Update Date: 04/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10141 MORNING STAR CIRCLE
VILLA PARK CA
92861
US

IV. Provider business mailing address

10141 MORNING STAR CIRCLE
VILLA PARK CA
92861
US

V. Phone/Fax

Practice location:
  • Phone: 714-282-2909
  • Fax: 714-282-8842
Mailing address:
  • Phone: 714-282-2909
  • Fax: 714-282-8842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA29051
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: