Healthcare Provider Details
I. General information
NPI: 1154363554
Provider Name (Legal Business Name): ARASH AMINIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/11/2006
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24331 EL TORO RD STE 200
LAGUNA WOODS CA
92637-3116
US
IV. Provider business mailing address
24331 EL TORO RD STE 200
LAGUNA WOODS CA
92637-3116
US
V. Phone/Fax
- Phone: 949-586-3200
- Fax: 949-900-2116
- Phone: 949-586-3200
- Fax: 949-900-2116
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0004X |
| Taxonomy | Orthopaedic Foot and Ankle Surgery Physician |
| License Number | A99103 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: