Basic Information
Provider Information
NPI: 1497135222
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARBOLEDA
FirstName: DAVID
MiddleName: FRANCISCO
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 185 CHANNEL ST APT 637
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941581733
CountryCode: US
TelephoneNumber: 7274032164
FaxNumber:  
Practice Location
Address1: 533 PARNASSUS AVE # U127
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 94143
CountryCode: US
TelephoneNumber: 4154767931
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/07/2015
LastUpdateDate: 07/11/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA156727CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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