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Individual

ARTURO TRIPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 687-8802
(951) 687-2250
Mailing address
9939 MAGNOLIA AVE, RIVERSIDE, CA 92503-3528
(951) 354-3216
(951) 848-9968

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3793
AZ
363AM0700X
Medical Physician Assistant
Primary
PA 14993
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
706393
AHCCCS GROUP
AZ
01
GR0083640/GR0083641
MEDICAL GROUP
CA
05
PA14993
CA
01
Z78444
MEDICARE GROUP
AZ
01
ZZZ19972Z /ZZZ20075Z
MEDICARE GROUP
CA
Enumeration date
10/04/2007
Last updated
05/24/2016
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