Healthcare Provider Details
I. General information
NPI: 1093894529
Provider Name (Legal Business Name): FRANK B ARIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/03/2006
Last Update Date: 02/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
490 S FARRELL DR SUITE C-104
PALM SPRINGS CA
92262-7992
US
IV. Provider business mailing address
P.O. BOX 5420
PALM SPRINGS CA
92263-5420
US
V. Phone/Fax
- Phone: 760-327-8755
- Fax: 760-327-1477
- Phone: 760-327-8755
- Fax: 760-327-1477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | A647283 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: