Healthcare Provider Details
I. General information
NPI: 1740977404
Provider Name (Legal Business Name): AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES-CA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/21/2023
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5315 W HILLSDALE AVE
VISALIA CA
93291-5118
US
IV. Provider business mailing address
2255 GLADES RD STE 228W
BOCA RATON FL
33431-7391
US
V. Phone/Fax
- Phone: 559-732-9900
- Fax: 559-732-9908
- Phone: 561-699-7101
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332900000X |
| Taxonomy | Non-Pharmacy Dispensing Site |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KATHRYN
N
GARRETT
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 561-699-7101