Provider Demographics
NPI:1376600338
Name:IMMEDIATE FAMILY MEDICAL CARE
Entity Type:Organization
Organization Name:IMMEDIATE FAMILY MEDICAL CARE
Other - Org Name:INDUSTRIAL FAMILY MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARBENZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-740-0707
Mailing Address - Street 1:860 W VALLEY PKWY
Mailing Address - Street 2:STE.150
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-2534
Mailing Address - Country:US
Mailing Address - Phone:760-740-0707
Mailing Address - Fax:760-735-3235
Practice Address - Street 1:25285 MADISON AVE
Practice Address - Street 2:STE.101
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8955
Practice Address - Country:US
Practice Address - Phone:951-600-9070
Practice Address - Fax:760-735-3235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA48183207QS0010X
CAG85673207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports MedicineGroup - Multi-Specialty
Not Answered207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty