Provider Demographics
NPI:1306924238
Name:AARCHAN JOSHI, M.D. INC
Entity type:Organization
Organization Name:AARCHAN JOSHI, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARCHAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-376-8850
Mailing Address - Street 1:520 N PROSPECT AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3041
Mailing Address - Country:US
Mailing Address - Phone:310-376-8850
Mailing Address - Fax:310-798-9228
Practice Address - Street 1:520 N PROSPECT AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3041
Practice Address - Country:US
Practice Address - Phone:310-376-8850
Practice Address - Fax:310-798-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0091620Medicaid
CA00A605130Medicaid
CA00G273030Medicaid
CAWG27303BMedicare ID - Type UnspecifiedPERFORMING ID# L AUGUST
CA4639400001Medicare NSC
CAWA60513CMedicare ID - Type UnspecifiedPERFORMING ID# A JOSHI
CAGR0091620Medicaid
CAW15493Medicare ID - Type UnspecifiedGROUP ID#
CA00A605130Medicaid