Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | A35390 | CA |
NPI | 1043366305 |
---|---|
Provider Name | Dr. Masad Isa Arbid |
First Address | Los Angeles, CA 90023-2536 |
Second Address | Los Angeles, CA 90023-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 09/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A353900 | (05) | CA |
A35390 | PROVIDER LICENSE NUMBER (01) | CA |
A88336 | (02) | CA |