Provider Demographics
NPI:1952589061
Name:ARTHRITIS AND OSTEOPOROSIS MED CTR
Entity Type:Organization
Organization Name:ARTHRITIS AND OSTEOPOROSIS MED CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-670-1340
Mailing Address - Street 1:5451 LA PALMA AVE
Mailing Address - Street 2:STE 25
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1728
Mailing Address - Country:US
Mailing Address - Phone:714-670-1340
Mailing Address - Fax:714-443-3779
Practice Address - Street 1:103 N GARFIELD AVE
Practice Address - Street 2:STE B
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3555
Practice Address - Country:US
Practice Address - Phone:714-670-1340
Practice Address - Fax:714-443-3779
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTHRITIS & OSTEOPOROSIS MEDICAL CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0092741Medicaid