Provider Demographics
NPI:1356499156
Name:ARNOLD, CHRISTOPHER D (DO)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:D
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3901 LAS POSAS RD
Mailing Address - Street 2:STE 207
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
Practice Address - Street 2:STE 207
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
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2020-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8181207QA0505X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX81810Medicaid
H82440Medicare UPIN