MEDICARE: MARC E ARNUSH M.D., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083X0100X	Occupational Medicine Physician	A90486	CA
2	208D00000X	General Practice Physician	A90486	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A90486	OTHER	CA	MEDICAL LIC

General Provider Information

NPI Number	:	1114125846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARC E ARNUSH M.D., M.P.H.

Provider Business Mailing Address
First Line	:	9601 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5203
Country	:	US
Telephone Number	:	310-215-6020
Fax Number	:

Provider Business Practice Location Address
First Line	:	9601 S SEPULVEDA BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5203
Country	:	US
Telephone Number	:	310-215-6020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	03/01/2010

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