Healthcare Provider Details
I. General information
NPI: 1306035050
Provider Name (Legal Business Name): ARMAN DANIELYAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/18/2007
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2740 GRANT ST
CONCORD CA
94520-2265
US
IV. Provider business mailing address
PO BOX 1326
LAFAYETTE CA
94549-1326
US
V. Phone/Fax
- Phone: 925-674-4100
- Fax:
- Phone: 925-385-8535
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | A118589 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0804X |
| Taxonomy | Child & Adolescent Psychiatry Physician |
| License Number | A118589 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: