Provider Demographics
NPI:1790550309
Name:ARLINGTON FAMILY CLINIC INC
Entity Type:Organization
Organization Name:ARLINGTON FAMILY CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-975-1632
Mailing Address - Street 1:3719 ARLINGTON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2652
Mailing Address - Country:US
Mailing Address - Phone:951-405-8201
Mailing Address - Fax:951-405-8131
Practice Address - Street 1:3719 ARLINGTON AVE STE A
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2652
Practice Address - Country:US
Practice Address - Phone:951-405-8201
Practice Address - Fax:951-405-8131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-24
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty