Healthcare Provider Details

I. General information

NPI: 1639099005
Provider Name (Legal Business Name): ARIMIN DEROEE, MD INC/ARMIN FARAJZADEH DEROEE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5084 N FRUIT AVE STE 103
FRESNO CA
93711-3000
US

IV. Provider business mailing address

5084 N FRUIT AVE STE 103
FRESNO CA
93711-3000
US

V. Phone/Fax

Practice location:
  • Phone: 612-298-4141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARMIN FARAJZADEH DEROEE
Title or Position: OWNER
Credential: MD
Phone: 612-298-4141