Provider Demographics
NPI:1912935032
Name:DIAMOND, ARTHUR B (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:B
Last Name:DIAMOND
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 1:6968 ALTA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5606
Mailing Address - Country:US
Mailing Address - Phone:310-265-8859
Mailing Address - Fax:310-265-8959
Practice Address - Street 1:6968 ALTA VISTA DR
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-5606
Practice Address - Country:US
Practice Address - Phone:310-265-8859
Practice Address - Fax:310-265-8959
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2009-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG381292085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP00266555OtherRAILROAD MEDICARE
CAA47368Medicare UPIN
008891C70Medicare PIN
CAP00266555OtherRAILROAD MEDICARE
P00256995Medicare PIN
009349C54Medicare PIN