Provider Demographics
NPI:1770536468
Name:ARROYO OAKS MEDICAL ASSOCIATES INC
Entity type:Organization
Organization Name:ARROYO OAKS MEDICAL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-495-1066
Mailing Address - Street 1:2230 LYNN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-1900
Mailing Address - Country:US
Mailing Address - Phone:805-495-1066
Mailing Address - Fax:805-230-9265
Practice Address - Street 1:2230 LYNN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1901
Practice Address - Country:US
Practice Address - Phone:805-495-1066
Practice Address - Fax:805-497-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9458207Q00000X
CAA78697207Q00000X
CA20A7214207Q00000X
CAC22738207R00000X
CA20A12697207R00000X
CAA104288207Q00000X
CAA99676207R00000X
CAG19135207R00000X
CAA63489207R00000X
CAG84319207R00000X
CAA54034207V00000X
CAG77511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR 0087680Medicaid
CAGR 0087680Medicaid