Provider Demographics
NPI:1013312594
Name:ANTULIO B AROCHE JR DO A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ANTULIO B AROCHE JR DO A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTULIO
Authorized Official - Middle Name:B
Authorized Official - Last Name:AROCHE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:805-273-5478
Mailing Address - Street 1:400 CAMARILLO RANCH RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5901
Mailing Address - Country:US
Mailing Address - Phone:805-273-5478
Mailing Address - Fax:805-852-2688
Practice Address - Street 1:400 CAMARILLO RANCH RD STE 101
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5901
Practice Address - Country:US
Practice Address - Phone:805-273-5478
Practice Address - Fax:805-852-2688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2024-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13631207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty