Healthcare Provider Details

I. General information

NPI: 1386927523
Provider Name (Legal Business Name): ARPINEH KESHISHIAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 09/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 SAN RAFAEL AVE
GLENDALE CA
91202-2406
US

IV. Provider business mailing address

1102 SAN RAFAEL AVE
GLENDALE CA
91202-2406
US

V. Phone/Fax

Practice location:
  • Phone: 818-241-3238
  • Fax: 888-362-4661
Mailing address:
  • Phone: 818-241-3238
  • Fax: 888-362-4661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS18989
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: