Healthcare Provider Details

I. General information

NPI: 1407804370
Provider Name (Legal Business Name): KIUMARS ARFAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11550 INDIAN HILLS RD SUITE 340
MISSION HILLS CA
91345-1200
US

IV. Provider business mailing address

11550 INDIAN HILLS RD SUITE 340
MISSION HILLS CA
91345-1200
US

V. Phone/Fax

Practice location:
  • Phone: 818-361-4959
  • Fax: 818-361-4951
Mailing address:
  • Phone: 818-361-4959
  • Fax: 818-361-4951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA84610
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA84610
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA84610
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA84610
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: