Healthcare Provider Details
I. General information
NPI: 1841258340
Provider Name (Legal Business Name): SARTAJ M ARORA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/03/2006
Last Update Date: 03/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1135 S SUNSET AVE SUITE 405
WEST COVINA CA
91790
US
IV. Provider business mailing address
1135 S SUNSET AVE SUITE 405
WEST COVINA CA
91790
US
V. Phone/Fax
- Phone: 626-960-2326
- Fax: 626-960-9796
- Phone: 626-960-2326
- Fax: 626-960-9796
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | A73889 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: