MEDICARE: MRS. JAHMI LEHA ARNOLD IDC

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	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1912104381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAHMI LEHA ARNOLD IDC

Provider Business Mailing Address
First Line	:	4625 LOS ALAMOS WAY
Second Line	:	UNIT B
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-7829
Country	:	US
Telephone Number	:	760-805-6208
Fax Number	:

Provider Business Practice Location Address
First Line	:	4625 LOS ALAMOS WAY
Second Line	:	UNIT B
City	:	OCEANSIDE
State	:	CA
Zip	:	92057-7829
Country	:	US
Telephone Number	:	760-805-6208
Fax Number	:

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

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	07/08/2007

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