Healthcare Provider Details

I. General information

NPI: 1326791252
Provider Name (Legal Business Name): OURIAN MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 N BEDFORD DR
BEVERLY HILLS CA
90210-4301
US

IV. Provider business mailing address

434 N BEDFORD DR
BEVERLY HILLS CA
90210-4301
US

V. Phone/Fax

Practice location:
  • Phone: 310-424-5424
  • Fax: 310-860-6463
Mailing address:
  • Phone: 310-424-5424
  • Fax: 310-860-6463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ARIEL OURIAN
Title or Position: CEO/OWNER
Credential: MD
Phone: 310-424-5424