Provider Demographics
NPI:1811320179
Name:CHA, ARNOLD (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:
Last Name:CHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4800 LINTON BLVD STE F107
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6506
Mailing Address - Country:US
Mailing Address - Phone:561-498-5660
Mailing Address - Fax:561-498-0753
Practice Address - Street 1:16811 SE MCGILLIVRAY BLVD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-3404
Practice Address - Country:US
Practice Address - Phone:360-696-5223
Practice Address - Fax:360-696-5228
Is Sole Proprietor?:No
Enumeration Date:2013-08-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60662927207P00000X, 207Q00000X
FLME151517207Q00000X
ORMD190062207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine