Doctor Name: | CLYDE T ARNOLD |
NPI Number: | 1073723433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | A22479 |
Business Practice Address: | 3756 Santa Rosalia Dr Suite 512 Los Angeles, CA - 900083606 |
Business Phone Number: | 3232916432 |
Business Fax Number: | |
Mailing Address: | 3756 Santa Rosalia Dr, Suite 512 LOS ANGELES |
State: | CA |
Postal Code: | 900083606 |
Phone Number: | 3232916432 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A22479 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |