Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | G30250 | CA |
NPI | 1023021680 |
---|---|
Provider Name | Dr. Stephen B. Arnold |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | San Pablo, CA 94806-3835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 14/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G302500 | (05) | CA |
A44350 | (02) | CA |