Healthcare Provider Details

I. General information

NPI: 1407602097
Provider Name (Legal Business Name): MRS. NILOUFAR ARMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 N ESCONDIDO BLVD # 1341
ESCONDIDO CA
92026-2507
US

IV. Provider business mailing address

10597 GREENFORD DR
SAN DIEGO CA
92126-2844
US

V. Phone/Fax

Practice location:
  • Phone: 619-451-5607
  • Fax:
Mailing address:
  • Phone: 619-451-5607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: