Provider Demographics
NPI:1225226897
Name:CHRISTOPHER D. ARNOLD, DO, AMC, INC.
Entity Type:Organization
Organization Name:CHRISTOPHER D. ARNOLD, DO, AMC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-383-0647
Mailing Address - Street 1:3901 LAS POSAS RD STE 207
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-1506
Mailing Address - Country:US
Mailing Address - Phone:805-383-0647
Mailing Address - Fax:805-383-1187
Practice Address - Street 1:3901 LAS POSAS RD STE 207
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-1506
Practice Address - Country:US
Practice Address - Phone:805-383-0647
Practice Address - Fax:805-383-1187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A8181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW17978Medicare PIN