Kavanaugh, Arthur
Kavanaugh, Arthur is an sole proprietor health care provider with primary practice located at 9350 Campus Point Dr Mail Code 0997, La Jolla CA 92037-1300. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Kavanaugh, Arthur can be contacted via phone (858) 657-7044.Contact Information
Primary practice address
9350 Campus Point Dr Mail Code 0997
La Jolla CA 92037-1300
Phone: (858) 657-7044
Fax: (858) 657-7045
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | C50307 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C50307 | California |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | C50307 | California |
Profile Details
| NPI number | 1679584486 |
|---|---|
| LBN Legal business name | Kavanaugh, Arthur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679584486 | NPPES |
| California | MEDICAID | 00C503070 |
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