Healthcare Provider Details

I. General information

NPI: 1164868451
Provider Name (Legal Business Name): JANE ARCADI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

1001 MAIN ST. SUITE K-3502
BUFFALO NY
14203
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-1447
  • Fax:
Mailing address:
  • Phone: 716-323-6570
  • Fax: 716-323-6658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number292889
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberA173535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: