Provider Demographics
NPI:1245225440
Name:REY, ARNOLD M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:M
Last Name:REY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 ORO DAM BLVD E
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-6052
Mailing Address - Country:US
Mailing Address - Phone:530-712-2171
Mailing Address - Fax:530-712-2149
Practice Address - Street 1:2450 ORO DAM BLVD E
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6052
Practice Address - Country:US
Practice Address - Phone:530-712-2171
Practice Address - Fax:530-712-2149
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G832970Medicaid
080158417OtherMEDICARE RAILROAD #
CAG06567Medicare UPIN
CA00G832970Medicaid