Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT3422 | CA |
Y | 2251E1300X | Electrophysiology, Clinical | EN8 | CA |
NPI | 1609880111 |
---|---|
Provider Name | Mr. Arnold H Tripp |
First Address | Escondido, CA 92033-0268 |
Second Address | Escondido, CA 92027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 16/10/2008 |