Provider Demographics
NPI:1629270426
Name:ARNOLD S KREMER D.O A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ARNOLD S KREMER D.O A PROFESSIONAL CORPORATION
Other - Org Name:DEL MAR INTEGRATIVE MEDICNE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:S
Authorized Official - Last Name:KREMER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:858-925-8233
Mailing Address - Street 1:1349 CAMINO DEL MAR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014
Mailing Address - Country:US
Mailing Address - Phone:858-925-8233
Mailing Address - Fax:858-925-8218
Practice Address - Street 1:1349 CAMINO DEL MAR
Practice Address - Street 2:SUITE B
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014
Practice Address - Country:US
Practice Address - Phone:858-755-0084
Practice Address - Fax:858-712-4587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty