Healthcare Provider Details

I. General information

NPI: 1487264404
Provider Name (Legal Business Name): ARASH NAMIRANIAN OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2020
Last Update Date: 09/11/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 N. HOCKETT ST
PORTERVILLE CA
93257
US

IV. Provider business mailing address

7257 SHOUP AVE
WEST HILLS CA
91307-1735
US

V. Phone/Fax

Practice location:
  • Phone: 877-960-3426
  • Fax:
Mailing address:
  • Phone: 213-615-9308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number35301-TLG
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number5420
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: