Provider Demographics
NPI:1831275544
Name:ARNOLD M REY, MD
Entity type:Organization
Organization Name:ARNOLD M REY, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:MANUEL
Authorized Official - Last Name:REY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-342-1231
Mailing Address - Street 1:251 COHASSET RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-2241
Mailing Address - Country:US
Mailing Address - Phone:530-342-1231
Mailing Address - Fax:530-342-1241
Practice Address - Street 1:251 COHASSET RD
Practice Address - Street 2:SUITE 340
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-2241
Practice Address - Country:US
Practice Address - Phone:530-342-1231
Practice Address - Fax:530-342-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG83297207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
080158417OtherMEDICARE RAILROAD #
CA00G832970Medicaid
CAG06567Medicare UPIN
CAZZZ02606ZMedicare PIN