Provider Demographics
NPI:1033490453
Name:ARROYO NEPHROLOGY ASSOCIATES
Entity Type:Organization
Organization Name:ARROYO NEPHROLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHOK
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNDER RAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-794-7075
Mailing Address - Street 1:2750 E WASHINGTON BLVD
Mailing Address - Street 2:# 270
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1448
Mailing Address - Country:US
Mailing Address - Phone:626-794-7075
Mailing Address - Fax:626-794-7215
Practice Address - Street 1:2750 E WASHINGTON BLVD
Practice Address - Street 2:# 270
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1448
Practice Address - Country:US
Practice Address - Phone:626-794-7075
Practice Address - Fax:626-794-7215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41453207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty