Arshjot S Ahuja
Individual provider Active NPI Dentist · Walnut, CA
NPI 1104088178 · NPPES record last updated Jun 30, 2008
Key facts
- NPI
- 1104088178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 57141 (CA)
- Practice address
- 1865 Peaceful Hills Rd
Walnut, CA 91789-4026 - Phone
- (909) 869-0969
- NPI assigned
- Jun 30, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57141 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57141 | CA | Yes |
Addresses
Primary practice location
1865 Peaceful Hills Rd
Walnut, CA 91789-4026
Mailing address
1865 Peaceful Hills Rd
Walnut, CA 91789-4026
Phone (909) 869-0969
Other providers in Walnut, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.