Provider Demographics
NPI:1861796161
Name:ARLINGTON PHYSICIANS CHOICE A MEDICAL CORPORATION
Entity type:Organization
Organization Name:ARLINGTON PHYSICIANS CHOICE A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-688-3001
Mailing Address - Street 1:8151 ARLINGTON AVE
Mailing Address - Street 2:STE. U-V
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-0436
Mailing Address - Country:US
Mailing Address - Phone:951-688-3001
Mailing Address - Fax:951-688-3022
Practice Address - Street 1:8151 ARLINGTON AVE
Practice Address - Street 2:STE. U-V
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-0436
Practice Address - Country:US
Practice Address - Phone:951-688-3001
Practice Address - Fax:951-688-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-29
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40662207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty