Provider Demographics
NPI:1932105277
Name:INOSHITA, ARTHUR M (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:M
Last Name:INOSHITA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 LOMA VISTA RD
Mailing Address - Street 2:STE B
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-2940
Mailing Address - Country:US
Mailing Address - Phone:805-652-1520
Mailing Address - Fax:805-652-1588
Practice Address - Street 1:3003 LOMA VISTA RD
Practice Address - Street 2:STE B
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-2940
Practice Address - Country:US
Practice Address - Phone:805-652-1520
Practice Address - Fax:805-652-1588
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2023-09-07
Deactivation Date:2006-03-15
Deactivation Code:
Reactivation Date:2006-05-05
Provider Licenses
StateLicense IDTaxonomies
CA39112230207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G336221Medicaid
CA00G336220OtherBLUE SHIELD
CAA45616Medicare UPIN
CAG33622Medicare ID - Type Unspecified