Healthcare Provider Details

I. General information

NPI: 1104108802
Provider Name (Legal Business Name): ARMAN OSSIA M.D. A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2011
Last Update Date: 09/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 N GLENOAKS BLVD
BURBANK CA
91504-2835
US

IV. Provider business mailing address

2020 N GLENOAKS BLVD
BURBANK CA
91504-2835
US

V. Phone/Fax

Practice location:
  • Phone: 818-845-2491
  • Fax: 818-843-7871
Mailing address:
  • Phone: 818-845-2491
  • Fax: 818-843-7871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA104763
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ARMAN OSSIA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-845-2491