Basic Information
| Provider Information | |||||||||
| NPI: | 1568697159 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUNCHIEN | ||||||||
| FirstName: | ARIN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1851 MARY JO WAY | ||||||||
| Address2: | |||||||||
| City: | RIPON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953669398 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7169301603 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7601 HOSPITAL DR STE 220 | ||||||||
| Address2: | |||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958235408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9166893433 | ||||||||
| FaxNumber: | 9166898943 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2009 | ||||||||
| LastUpdateDate: | 01/05/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 6561710-1205 | UT | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 14286 | HI | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A118815 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207V00000X | A118815 | CA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.