Healthcare Provider Details

I. General information

NPI: 1104048701
Provider Name (Legal Business Name): ARASH BERELIANI, M.D., A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N ROBERTSON BLVD
BEVERLY HILLS CA
90211
US

IV. Provider business mailing address

10701 WILSHIRE BLVD #2104
LOS ANGELES CA
90024
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-8000
  • Fax: 310-652-5763
Mailing address:
  • Phone: 310-383-1844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberBB6135025
License Number StateCA

VIII. Authorized Official

Name: DR. ARASH BERELIANI
Title or Position: DOCTOR
Credential: M.D.
Phone: 310-550-8000