Provider Demographics
NPI:1558572610
Name:ARTHUR AN M D INC
Entity Type:Organization
Organization Name:ARTHUR AN M D INC
Other - Org Name:ARTHUR AN, M.D., INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BILLING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-827-6806
Mailing Address - Street 1:1015 N 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-7401
Mailing Address - Country:US
Mailing Address - Phone:626-566-2866
Mailing Address - Fax:626-566-2850
Practice Address - Street 1:1015 N 1ST AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7401
Practice Address - Country:US
Practice Address - Phone:626-566-2866
Practice Address - Fax:626-566-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61877174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A618770OtherBLUE SHIELD
CA551872962OtherBLUE CROSS
CA00A618770OtherBLUE SHIELD
CAH16538Medicare UPIN