Provider Demographics
NPI:1730160714
Name:FOX, ARTHUR H (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:H
Last Name:FOX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1141 W REDONDO BEACH BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-3586
Mailing Address - Country:US
Mailing Address - Phone:310-523-3570
Mailing Address - Fax:310-523-4054
Practice Address - Street 1:1141 W REDONDO BEACH BLVD
Practice Address - Street 2:STE 202
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90247-3586
Practice Address - Country:US
Practice Address - Phone:310-523-3570
Practice Address - Fax:310-523-4054
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG80873174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G808730Medicaid
CA00G808730Medicaid
CAG90016Medicare UPIN