Healthcare Provider Details

I. General information

NPI: 1588596191
Provider Name (Legal Business Name): ARTUR ALEKSANYAN CMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WILSHIRE BLVD STE 362W
BEVERLY HILLS CA
90212-3468
US

IV. Provider business mailing address

9100 WILSHIRE BLVD STE 362W
BEVERLY HILLS CA
90212-3468
US

V. Phone/Fax

Practice location:
  • Phone: 818-489-8394
  • Fax:
Mailing address:
  • Phone: 818-489-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number101136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: