Basic Information
| Provider Information | |||||||||
| NPI: | 1760666184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARCENEAUX | ||||||||
| FirstName: | ARTHUR | ||||||||
| MiddleName: | ALBERT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 249 E 10TH ST | ||||||||
| Address2: | |||||||||
| City: | BEAUMONT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922231801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9517696685 | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 S EL CIELO RD | ||||||||
| Address2: | SUITE I | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922627926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7604161753 | ||||||||
| FaxNumber: | 7604160263 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2007 | ||||||||
| LastUpdateDate: | 12/20/2007 | ||||||||
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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 | 225400000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |
No ID Information.