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General NPI Number Information
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NPI Number | 1851009419
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Entity Type | Organization
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Legal Business Name | ARTHRITIS AND RHEUMATISM CENTER INC., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 1079 EUCALYPTUS ST STE A
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City | MANTECA
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State | CA
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Zip | 95337-4317
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Country | US
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Telephone | 209-284-4561
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Fax | 209-284-4562
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Provider Business Mailing Address
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Address Line | 1079 EUCALYPTUS ST STE A
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City | MANTECA
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State | CA
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Zip | 95337-4317
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Country | US
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Telephone | 209-284-4561
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Fax | 209-284-4562
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | ANUPAM CHAHAL
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Credential | MD
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Telephone | 209-284-4561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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