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NPI Code Detail

MEDICARE: PETER TAKAYUKI ARAI M.D.

MEDICARE: PETER TAKAYUKI ARAI M.D.
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
1207Q00000XFamily Medicine PhysicianA54976CA

General Provider Information

NPI Number : 1770678716
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER TAKAYUKI ARAI M.D.
Provider Business Mailing Address
First Line : PO BOX 27206
Second Line :
City : LOS ANGELES
State : CA
Zip : 90027-0206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 W PICO BLVD STE 105
Second Line :
City : LOS ANGELES
State : CA
Zip : 90006-3902
Country : US
Telephone Number : 213-388-2772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 04/19/2018

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