Healthcare Provider Details

I. General information

NPI: 1891373403
Provider Name (Legal Business Name): MICHAEL JAMES ARIAS DO, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3651 WILLARD ST
PANORAMA CITY CA
91402
US

IV. Provider business mailing address

13651 WILLARD ST
PANORAMA CITY CA
91402
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 323-828-5771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number20A23279
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: