Provider Demographics
NPI:1962589556
Name:SHATZ, ARNOLD IRWIN (MD)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:IRWIN
Last Name:SHATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10931 HUNTING HORN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-2499
Mailing Address - Country:US
Mailing Address - Phone:714-573-2965
Mailing Address - Fax:714-573-2965
Practice Address - Street 1:10931 HUNTING HORN DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-2499
Practice Address - Country:US
Practice Address - Phone:714-573-2965
Practice Address - Fax:714-573-2965
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG19474208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA90599Medicare UPIN