Doctor Name: | ARNOLD J BRENDER |
NPI Number: | 1396732053 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G49205 |
Business Practice Address: | 17742 Beach Blvd Ste 215 Huntington Beach, CA - 926476818 |
Business Phone Number: | 7148481655 |
Business Fax Number: | 7148474348 |
Mailing Address: | 17742 Beach Blvd, Ste 215 HUNTINGTON BEACH |
State: | CA |
Postal Code: | 926476818 |
Phone Number: | 7148481655 |
Fax Number: | 7148474348 |
NPI Enumeration Date: | 09/28/2005 |
NPI Last Update Date: | 01/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G49205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |