Provider Demographics
NPI:1174522593
Name:MARISCAL, ARNOLD EFREN (DC)
Entity type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:EFREN
Last Name:MARISCAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8531 FLORENCE AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-4014
Mailing Address - Country:US
Mailing Address - Phone:562-904-6990
Mailing Address - Fax:562-904-6995
Practice Address - Street 1:8531 FLORENCE AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-4014
Practice Address - Country:US
Practice Address - Phone:562-904-6990
Practice Address - Fax:562-904-6995
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CADC28980111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor