Provider Demographics
NPI:1730271933
Name:MABAQUIAO, ARTHUR RAY (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:RAY
Last Name:MABAQUIAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 511491
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-8046
Mailing Address - Country:US
Mailing Address - Phone:866-284-2771
Mailing Address - Fax:822-334-1041
Practice Address - Street 1:5030 CAMINO DE LA SIESTA STE 106
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3117
Practice Address - Country:US
Practice Address - Phone:619-334-4869
Practice Address - Fax:619-334-4940
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA207RR0500X207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology