Provider Demographics
NPI:1598718975
Name:JOSEPH M. ARCIDI, M.D., INC.
Entity Type:Organization
Organization Name:JOSEPH M. ARCIDI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:DARCEL
Authorized Official - Last Name:BIGGLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-977-7422
Mailing Address - Street 1:1245 WILSHIRE BLVD
Mailing Address - Street 2:STE 703
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-4810
Mailing Address - Country:US
Mailing Address - Phone:213-977-9211
Mailing Address - Fax:213-402-3122
Practice Address - Street 1:1245 WILSHIRE BLVD
Practice Address - Street 2:STE 703
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-4810
Practice Address - Country:US
Practice Address - Phone:213-977-9211
Practice Address - Fax:213-402-3122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0099360Medicaid
CAW18172Medicare PIN