1568488195 NPI number — ARTURO A. ARMENDARIZ P.A./N.P.

Table of content: ARTURO A. ARMENDARIZ P.A./N.P. (NPI 1568488195)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568488195 NPI number — ARTURO A. ARMENDARIZ P.A./N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARMENDARIZ
Provider First Name:
ARTURO
Provider Middle Name:
A.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.A./N.P.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568488195
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3802 NATIONAL AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92113-3223
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-264-2591
Provider Business Mailing Address Fax Number:
619-264-4116

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3802 NATIONAL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN DIEGO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92113-3223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-264-2591
Provider Business Practice Location Address Fax Number:
619-264-4116
Provider Enumeration Date:
07/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  PA18311 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LF0000X , with the licence number: NP 16826 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com