Provider Demographics
NPI:1922218213
Name:COTA, ARNOLD A (DC)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:A
Last Name:COTA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-2418
Mailing Address - Country:US
Mailing Address - Phone:760-353-1346
Mailing Address - Fax:760-353-2679
Practice Address - Street 1:546 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-2418
Practice Address - Country:US
Practice Address - Phone:760-353-1346
Practice Address - Fax:760-353-2679
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC13295111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC13295Medicare PIN