Provider Demographics
NPI:1881603256
Name:ARTHROSCOPIC SURGERY ASSOCIATES CORPORATION
Entity type:Organization
Organization Name:ARTHROSCOPIC SURGERY ASSOCIATES CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:MOCHIZUKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-438-1245
Mailing Address - Street 1:PO BOX 27708
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-7708
Mailing Address - Country:US
Mailing Address - Phone:559-438-1245
Mailing Address - Fax:559-261-2968
Practice Address - Street 1:7255 N CEDAR AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3831
Practice Address - Country:US
Practice Address - Phone:559-438-1245
Practice Address - Fax:559-261-2968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32450207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA611550700OtherUSDL
CADN2660OtherRAILROAD MEDICARE
CAZZZ03942ZMedicare PIN