Provider Demographics
NPI:1497824882
Name:PANGILINAN, ARTURO P (MD)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:P
Last Name:PANGILINAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 OLIVE OAK WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-5658
Mailing Address - Country:US
Mailing Address - Phone:530-589-4305
Mailing Address - Fax:530-589-3965
Practice Address - Street 1:2767 OLIVE HIGHWAY
Practice Address - Street 2:
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95966-6118
Practice Address - Country:US
Practice Address - Phone:530-589-4305
Practice Address - Fax:530-589-3965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36228208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A362280Medicaid
A362280Medicare UPIN
00A362280Medicare PIN
CA00A362280Medicaid