Provider Demographics
NPI:1144244823
Name:ARIGO, RICHARD CHAD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:CHAD
Last Name:ARIGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 COTNER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-3303
Mailing Address - Country:US
Mailing Address - Phone:310-445-2951
Mailing Address - Fax:310-479-1459
Practice Address - Street 1:1516 COTNER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-3303
Practice Address - Country:US
Practice Address - Phone:310-445-2951
Practice Address - Fax:310-479-1459
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA825032085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A825030Medicaid
CAGR0106031Medicaid
CAWA82503DMedicare PIN
CA00A825038Medicare PIN
CAAS493XMedicare PIN
CAWA82503CMedicare PIN
CAWA82503EMedicare PIN
CAWA82503HMedicare PIN
CAI 62132Medicare UPIN
CAWA82503IMedicare PIN
CA00A825030Medicaid
CAWA82503FMedicare PIN
CAWA82503JMedicare PIN
CA00A825035Medicare PIN
CA00A825037Medicare PIN
CATP051AMedicare PIN
CA00A825032Medicare PIN
CAGR0106031Medicaid
CA00A825036Medicare PIN
CA00A825033Medicare PIN
CA00A825031Medicare PIN
CA00A825030Medicare PIN