=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629225313
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WALK -IN FAMILY HEALTH GROUP INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2008
-----------------------------------------------------
Last Update Date | 12/09/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 981 E PROSPERITY AVE
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-7360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-685-9808
-----------------------------------------------------
Fax | 559-685-1071
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 981 E PROSPERITY AVE
-----------------------------------------------------
City | TULARE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93274-7360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-685-9808
-----------------------------------------------------
Fax | 559-685-1071
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/OWNER
-----------------------------------------------------
Name | DR. ARNOLD WELDEN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 559-685-9808
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | C42350
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------