Healthcare Provider Details

I. General information

NPI: 1073824058
Provider Name (Legal Business Name): ARKADI BEGLARYAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 06/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12115 MAGNOLIA BLVD #27
NORTH HOLLYWOOD CA
91607-2609
US

IV. Provider business mailing address

12115 MAGNOLIA BLVD #27
NORTH HOLLYWOOD CA
91607-2609
US

V. Phone/Fax

Practice location:
  • Phone: 520-904-5796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: