Provider Demographics
NPI:1548710049
Name:ARBON, DOUGLAS HOWARD (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:HOWARD
Last Name:ARBON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12958 LONGBOAT WAY
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3842
Mailing Address - Country:US
Mailing Address - Phone:858-755-7345
Mailing Address - Fax:
Practice Address - Street 1:12958 LONGBOAT WAY
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3842
Practice Address - Country:US
Practice Address - Phone:858-755-7345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG21768207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology