Provider Demographics
NPI:1245645746
Name:ARUN K KALRA MD INC
Entity type:Organization
Organization Name:ARUN K KALRA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KALRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-464-6317
Mailing Address - Street 1:1617 VIA ROJAS
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-5416
Mailing Address - Country:US
Mailing Address - Phone:760-464-6317
Mailing Address - Fax:859-363-4887
Practice Address - Street 1:1617 VIA ROJAS
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92545-5416
Practice Address - Country:US
Practice Address - Phone:760-464-6317
Practice Address - Fax:859-363-4887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51926174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB82776Medicare UPIN