Provider Demographics
NPI:1639354855
Name:ARCUATE MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ARCUATE MEDICAL GROUP, A PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:BETTER HEALTH MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEOPOLDO
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ALONZO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-599-8323
Mailing Address - Street 1:116 W LIME AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2841
Mailing Address - Country:US
Mailing Address - Phone:626-599-8323
Mailing Address - Fax:626-599-8331
Practice Address - Street 1:116 W LIME AVE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2841
Practice Address - Country:US
Practice Address - Phone:626-599-8323
Practice Address - Fax:626-599-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79776207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty