Healthcare Provider Details

I. General information

NPI: 1982911160
Provider Name (Legal Business Name): CENTER FOR RHEUMATOLOGY MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2010
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8640 W 3RD ST SUITE 300
LOS ANGELES CA
90048-3384
US

IV. Provider business mailing address

PO BOX 5762
BEVERLY HILLS CA
90209-5762
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-7878
  • Fax: 310-659-7117
Mailing address:
  • Phone: 310-659-7878
  • Fax: 310-659-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARASH AARON HORIZON
Title or Position: CFO
Credential: MD
Phone: 310-659-7878