Provider Demographics
NPI:1912104381
Name:ARNOLD, JAHMI LEHA (IDC)
Entity type:Individual
Prefix:MRS
First Name:JAHMI
Middle Name:LEHA
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:IDC
Other - Prefix:MISS
Other - First Name:JAHMI
Other - Middle Name:LEHA
Other - Last Name:PHIEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IDC
Mailing Address - Street 1:4625 LOS ALAMOS WAY
Mailing Address - Street 2:UNIT B
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-7829
Mailing Address - Country:US
Mailing Address - Phone:760-805-6208
Mailing Address - Fax:
Practice Address - Street 1:4625 LOS ALAMOS WAY
Practice Address - Street 2:UNIT B
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-7829
Practice Address - Country:US
Practice Address - Phone:760-805-6208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider