Basic Information
Provider Information
NPI: 1164713871
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNALDO
FirstName: CHRISTINE
MiddleName: LOUIE
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18210 YORBA LINDA BLVD.
Address2: SUITE 404
City: YORBA LINDA
State: CA
PostalCode: 92886
CountryCode: US
TelephoneNumber: 7145776031
FaxNumber: 7145244476
Practice Location
Address1: 505 S MAIN ST
Address2: SUITE 525
City: ORANGE
State: CA
PostalCode: 928684509
CountryCode: US
TelephoneNumber: 7144565631
FaxNumber: 7142850389
Other Information
ProviderEnumerationDate: 04/28/2011
LastUpdateDate: 07/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA125241CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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