Healthcare Provider Details

I. General information

NPI: 1033552450
Provider Name (Legal Business Name): ARSEN MURADYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 GOODRICH BLVD
COMMERCE CA
90022-5102
US

IV. Provider business mailing address

1011 GOODRICH BLVD
COMMERCE CA
90022-5102
US

V. Phone/Fax

Practice location:
  • Phone: 323-888-9191
  • Fax:
Mailing address:
  • Phone: 323-888-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: