Provider Demographics
NPI:1124340666
Name:ARNOLD O. WELDEN, M.D., INC.
Entity type:Organization
Organization Name:ARNOLD O. WELDEN, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:O
Authorized Official - Last Name:WELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-686-0123
Mailing Address - Street 1:1255 N CHERRY ST
Mailing Address - Street 2:PMB612
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2233
Mailing Address - Country:US
Mailing Address - Phone:559-686-0123
Mailing Address - Fax:559-686-7552
Practice Address - Street 1:1090 N CHERRY ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2251
Practice Address - Country:US
Practice Address - Phone:559-686-0123
Practice Address - Fax:559-686-7552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABD679ZMedicare PIN