Healthcare Provider Details

I. General information

NPI: 1891966917
Provider Name (Legal Business Name): ARASH NOURPARVAR M D INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 06/22/2024
Certification Date: 06/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16311 VENTURA BLVD SUITE 880
ENCINO CA
91436-2124
US

IV. Provider business mailing address

16311 VENTURA BLVD SUITE 880
ENCINO CA
91436-2124
US

V. Phone/Fax

Practice location:
  • Phone: 818-783-2000
  • Fax: 818-783-5583
Mailing address:
  • Phone: 818-783-2000
  • Fax: 818-783-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA71773
License Number StateCA

VIII. Authorized Official

Name: DR. ARASH NOURPARVAR
Title or Position: OWNER
Credential: M.D.
Phone: 818-783-2000