MEDICARE: CHRISTOPHER MARK ARISMENDI MD

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	208600000X	Surgery Physician	G73525	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G73525	OTHER	CA	MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396792339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MARK ARISMENDI MD

Provider Business Mailing Address
First Line	:	4347 PORTAGE ST NW STE 102
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7371
Country	:	US
Telephone Number	:	800-527-0336
Fax Number	:	330-244-8521

Provider Business Practice Location Address
First Line	:	420 W ACACIA ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95203-2441
Country	:	US
Telephone Number	:	209-466-9694
Fax Number	:

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

Provider Enumeration Date	:	05/27/2006
Last Update Date	:	06/12/2018

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