Provider Demographics
NPI:1962456749
Name:TRAYNIS, ARNOLD I (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:I
Last Name:TRAYNIS
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:PO BOX 250610
Mailing Address - Street 2:SFO MEDICAL CLINIC & SAN FRANCISCO INTERNATIONAL AIRPOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94125-0610
Mailing Address - Country:US
Mailing Address - Phone:650-821-5601
Mailing Address - Fax:650-821-5662
Practice Address - Street 1:SFO MEDICAL CLINIC: SAN FRANCISCO INTERNATIONAL AIRPORT
Practice Address - Street 2:TERMINAL 2 LOWER LEVEL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94125
Practice Address - Country:US
Practice Address - Phone:650-821-5601
Practice Address - Fax:650-821-8662
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G07746Medicare UPIN
CA00A536001Medicare ID - Type Unspecified