Provider Demographics
NPI:1740506963
Name:GOPAL, ARUN (MD)
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:GOPAL
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 1:4140 W 190TH ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-5513
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:18321 CLARK ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-3501
Practice Address - Country:US
Practice Address - Phone:818-881-0800
Practice Address - Fax:310-423-8441
Is Sole Proprietor?:No
Enumeration Date:2010-04-13
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ6508207R00000X
CAA152047207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX358313004OtherMEDICAID ARC ROT
TX358313001OtherMEDICAID SAIMS ROT
TX358313003OtherMEDICAID ARC TRAVIS
TX358313002OtherMEDICAID SAIMS TRAVIS
TX503332YKXYOtherMEDICARE ARC ROT
TX503332YKXVOtherMEDICARE ARC TRAVIS
TX503332YLP1OtherMEDICARE SAIMS TRAVIS
TX503332YLP2OtherMEDICARE SAIMS ROT