Provider Demographics
NPI:1336408657
Name:ARNOLD OSTROW MD INC.
Entity type:Organization
Organization Name:ARNOLD OSTROW MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTROW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-430-7533
Mailing Address - Street 1:3771 KATELLA AVE
Mailing Address - Street 2:300
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3108
Mailing Address - Country:US
Mailing Address - Phone:562-430-7533
Mailing Address - Fax:562-431-3479
Practice Address - Street 1:3771 KATELLA AVE
Practice Address - Street 2:300
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3108
Practice Address - Country:US
Practice Address - Phone:562-430-7533
Practice Address - Fax:562-431-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG16243207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G16243Medicare PIN