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1861386385 NPI number — RUSS R. ARJAL MD, PC

NPI Number: 1861386385
Health Care Provider/Practitioner: RUSS R. ARJAL MD, PC

Information about “1861386385” NPI (RUSS R. ARJAL MD, PC) exists in 1861386385 in HTML format HTML  |  1861386385 in plain Text format TXT  |  1861386385 in PDF (Portable Document Format) PDF  |  1861386385 in an XML format XML  formats.

NPI Number : 1861386385 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861386385",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "RUSS R. ARJAL MD, PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3940 BROAD ST STE 7",
    "SecondLineMailingAddress": "PMB 390",
    "MailingAddressCityName": "SAN LUIS OBISPO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93401-7017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "77 CASA ST STE 106",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN LUIS OBISPO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93405-5804",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-541-1021",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "01/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ARJAL",
    "AuthorizedOfficialFirstName": "RUSS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEMBER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "206-661-7283",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RG0100X",
        "TaxonomyName": "Gastroenterology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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