Healthcare Provider Details

I. General information

NPI: 1457328254
Provider Name (Legal Business Name): ARTHUR HAGOP SALIBIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DRIVE SUITE 211
ORANGE CA
92868-3837
US

IV. Provider business mailing address

1310 W STEWART DRIVE SUITE 211
ORANGE CA
92868-3837
US

V. Phone/Fax

Practice location:
  • Phone: 714-997-4848
  • Fax: 714-997-4847
Mailing address:
  • Phone: 714-997-4848
  • Fax: 714-997-4847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA30797
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number33812
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: