Provider Demographics
NPI:1801988142
Name:ABALOS, ARTURO ZARATE (MD)
Entity type:Individual
Prefix:
First Name:ARTURO
Middle Name:ZARATE
Last Name:ABALOS
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:PO BOX 1178
Mailing Address - Street 2:1004 14TH AVE
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215
Mailing Address - Country:US
Mailing Address - Phone:661-725-5676
Mailing Address - Fax:661-725-6940
Practice Address - Street 1:1004 14TH AVE
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215
Practice Address - Country:US
Practice Address - Phone:661-725-5676
Practice Address - Fax:661-725-6940
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA29922207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A299220Medicaid
CARHM53869FMedicaid
CARHM53869FMedicaid
00A299220Medicare ID - Type Unspecified
CA00A299220Medicaid