Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD7211 | HI |
NPI | 1093702656 |
---|---|
Provider Name | Dr. Richard Fumitsugu Arakaki |
First Address | Pasadena, CA 91110-0698 |
Second Address | Phoenix, AZ 85016-5319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 29/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
059993 | (05) | HI |
B94734 | (02) | |
V0079656 | HMSA (01) | HI |