Provider Demographics
NPI:1649293259
Name:AN, ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:AN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1015 N FIRST AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-7401
Mailing Address - Country:US
Mailing Address - Phone:626-566-2866
Mailing Address - Fax:626-566-2850
Practice Address - Street 1:1015 N FIRST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-7401
Practice Address - Country:US
Practice Address - Phone:626-332-7090
Practice Address - Fax:800-924-7301
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA618772084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA61877AMedicare PIN
CAH16538Medicare UPIN