Healthcare Provider Details

I. General information

NPI: 1548217680
Provider Name (Legal Business Name): KARUNYAN ARULANANTHAM MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45074 10TH ST W SUITE 109
LANCASTER CA
93534-2371
US

IV. Provider business mailing address

PO BOX 2311
CHATSWORTH CA
91313-2311
US

V. Phone/Fax

Practice location:
  • Phone: 661-942-2391
  • Fax: 818-718-9507
Mailing address:
  • Phone: 818-718-9500
  • Fax: 818-718-9507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA31408
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberA31408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: