Provider Demographics
NPI:1043366305
Name:ARBID, MASAD ISA (MD)
Entity type:Individual
Prefix:DR
First Name:MASAD
Middle Name:ISA
Last Name:ARBID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4055 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90023-2536
Mailing Address - Country:US
Mailing Address - Phone:323-780-4000
Mailing Address - Fax:323-780-9893
Practice Address - Street 1:4055 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90023-2536
Practice Address - Country:US
Practice Address - Phone:323-780-4000
Practice Address - Fax:323-780-9893
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35390208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA35390OtherPROVIDER LICENSE NUMBER
CA00A353900Medicaid
CAW12223Medicare PIN
CA00A353900Medicaid