MEDICARE: DR. ARNOLD L. SHINDER D.O.

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	207QA0505X	Adult Medicine Physician	20A5010	CA

General Provider Information

NPI Number	:	1598734667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNOLD L. SHINDER D.O.

Provider Business Mailing Address
First Line	:	4201 GREEN AVE
Second Line	:	B
City	:	LOS ALAMITOS
State	:	CA
Zip	:	90720-3552
Country	:	US
Telephone Number	:	562-335-4473
Fax Number	:

Provider Business Practice Location Address
First Line	:	18575 GALE AVE
Second Line	:	STE. 295
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1340
Country	:	US
Telephone Number	:	626-369-9663
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	04/23/2010

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