=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528791522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRESTON ARNDT, MD INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2022
-----------------------------------------------------
Last Update Date | 07/08/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 411 W OJAI AVE STE B
-----------------------------------------------------
City | OJAI
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93023-2443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-233-4231
-----------------------------------------------------
Fax | 805-273-0216
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 333 VALLEY VISTA DR
-----------------------------------------------------
City | CAMARILLO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93010-1633
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-910-5907
-----------------------------------------------------
Fax | 805-273-0216
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. PRESTON WALTER ARNDT
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 805-910-5907
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------