Healthcare Provider Details

I. General information

NPI: 1477558120
Provider Name (Legal Business Name): ARAM ISAIANTS D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2005
Last Update Date: 08/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N CENTRAL AVE STE 900
GLENDALE CA
91203-3905
US

IV. Provider business mailing address

500 N CENTRAL AVE STE 900
GLENDALE CA
91203-3905
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-1732
  • Fax: 818-244-1733
Mailing address:
  • Phone: 818-244-1732
  • Fax: 818-244-1733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE4152
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: