Provider Demographics
NPI:1104846344
Name:KREMER, ARNOLD SAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:SAUL
Last Name:KREMER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 CAMINO DEL MAR STE B
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2553
Mailing Address - Country:US
Mailing Address - Phone:858-925-8233
Mailing Address - Fax:858-925-8218
Practice Address - Street 1:1349 CAMINO DEL MAR STE B
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2553
Practice Address - Country:US
Practice Address - Phone:858-925-8233
Practice Address - Fax:858-925-8218
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX42420Medicaid
CAE39285Medicare UPIN
CA00AX42420Medicaid
CAW20A424FMedicare PIN