Healthcare Provider Details

I. General information

NPI: 1245430354
Provider Name (Legal Business Name): ARTHUR PARTIKIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 N MISSION RD BUILDING WCH, ROOM L902
LOS ANGELES CA
90033-1019
US

IV. Provider business mailing address

1240 N MISSION RD BUILDING WCH, ROOM L902
LOS ANGELES CA
90033-1019
US

V. Phone/Fax

Practice location:
  • Phone: 323-226-3691
  • Fax: 323-226-5692
Mailing address:
  • Phone: 323-226-3691
  • Fax: 323-226-5692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberA85112
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: