Healthcare Provider Details

I. General information

NPI: 1982950572
Provider Name (Legal Business Name): ARMIN BAREKATAIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2012
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23521 PASEO DE VALENCIA STE 303
LAGUNA HILLS CA
92653-3102
US

IV. Provider business mailing address

23521 PASEO DE VALENCIA STE 303
LAGUNA HILLS CA
92653-3102
US

V. Phone/Fax

Practice location:
  • Phone: 949-837-6600
  • Fax: 949-837-6602
Mailing address:
  • Phone: 949-837-6600
  • Fax: 949-837-6602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberC7-0005410
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: