Provider Demographics
NPI:1932207818
Name:ARTHRITIS CONSULTANTS OF NORTH COUNTY A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:ARTHRITIS CONSULTANTS OF NORTH COUNTY A PROFESSIONAL CORPORATION
Other - Org Name:FRANK J NOLAN MD A PROFESSIONAL CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-724-5800
Mailing Address - Street 1:2023 W VISTA WAY
Mailing Address - Street 2:SUITE H
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-6030
Mailing Address - Country:US
Mailing Address - Phone:760-724-5800
Mailing Address - Fax:760-724-1617
Practice Address - Street 1:2023 W VISTA WAY
Practice Address - Street 2:SUITE H
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6030
Practice Address - Country:US
Practice Address - Phone:760-724-5800
Practice Address - Fax:760-724-1617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG27560174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G275600Medicaid
CA00A553280Medicaid
CA00A553280Medicaid
CA00G275600Medicaid