Provider Demographics
NPI:1154428324
Name:LAPSIWALA, ARVIND CHIMANLAL (MD)
Entity type:Individual
Prefix:
First Name:ARVIND
Middle Name:CHIMANLAL
Last Name:LAPSIWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ARVIND
Other - Middle Name:CHIMANLAL
Other - Last Name:LAPSIWALA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:554 E SAN BERNARDINO RD
Mailing Address - Street 2:STE. 101
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-1747
Mailing Address - Country:US
Mailing Address - Phone:626-331-9494
Mailing Address - Fax:626-331-9944
Practice Address - Street 1:554 E SAN BERNARDINO RD
Practice Address - Street 2:STE. 101
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-1747
Practice Address - Country:US
Practice Address - Phone:626-331-9494
Practice Address - Fax:626-331-9944
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35704208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA88348Medicare UPIN