MEDICARE: MR. WILLIAM AREND P.A.

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	363AM0700X	Medical Physician Assistant	001748	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001748	OTHER	CT	STATE LICENSE
2	PA20356	OTHER	CA	CALIFORNIA STATE LICENSE

General Provider Information

NPI Number	:	1326165853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM AREND P.A.

Provider Business Mailing Address
First Line	:	PO BOX 232410
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92193-2410
Country	:	US
Telephone Number	:	619-543-5743
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WEST ARBOR DRIVE - CCU
Second Line	:	UC SAN DIEGO MEDICAL CENTER
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-8784
Country	:	US
Telephone Number	:	619-543-6222
Fax Number	:

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

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	09/21/2016

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Directions to “ MR. WILLIAM AREND P.A.” Practice Location

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