Healthcare Provider Details

I. General information

NPI: 1942022629
Provider Name (Legal Business Name): ARABESQUE MUSIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 11/03/2024
Certification Date: 11/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 S LA CIENEGA BLVD STE 212
LOS ANGELES CA
90035-3761
US

IV. Provider business mailing address

1436 S LA CIENEGA BLVD STE 212
LOS ANGELES CA
90035-3761
US

V. Phone/Fax

Practice location:
  • Phone: 424-284-8444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: GERVAIS LOUIS MAILLARD
Title or Position: OWNER
Credential:
Phone: 781-308-5600