Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A53180 | CA |
Y | 208600000X | Surgeon | A53180 | CA |
N | 2086S0127X | Trauma Surgeon | A53180 | CA |
NPI | 1023072816 |
---|---|
Provider Name | Mr. Walid S. Arnaout |
First Address | Thousand Oaks, CA 91361-1019 |
Second Address | Thousand Oaks, CA 91361-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G18350 | (02) | CA |