Provider Demographics
NPI:1376673889
Name:ARNQUIST, STEVEN LEE (O D)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:ARNQUIST
Suffix:
Gender:M
Credentials:O D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5324 RENAISSANCE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5632
Mailing Address - Country:US
Mailing Address - Phone:951-766-1146
Mailing Address - Fax:951-766-7156
Practice Address - Street 1:1231 S SANDERSON AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-9046
Practice Address - Country:US
Practice Address - Phone:951-766-1146
Practice Address - Fax:951-766-7156
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA6858T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
U52943Medicare UPIN