Provider Demographics
NPI:1982632774
Name:ARLUK, IRWIN (MD)
Entity Type:Individual
Prefix:
First Name:IRWIN
Middle Name:
Last Name:ARLUK
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 1:24361 EL TORO RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-2755
Mailing Address - Country:US
Mailing Address - Phone:949-916-6321
Mailing Address - Fax:949-916-6340
Practice Address - Street 1:24361 EL TORO RD
Practice Address - Street 2:SUITE 120
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-2755
Practice Address - Country:US
Practice Address - Phone:949-916-6321
Practice Address - Fax:949-916-6340
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG15995207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA39676Medicare UPIN
CAG15995AMedicare ID - Type Unspecified