Healthcare Provider Details

I. General information

NPI: 1750582268
Provider Name (Legal Business Name): DAVID AFRAMIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 12/01/2021
Certification Date: 12/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 19TH ST
SANTA MONICA CA
90402-2408
US

IV. Provider business mailing address

230 19TH ST
SANTA MONICA CA
90402-2408
US

V. Phone/Fax

Practice location:
  • Phone: 310-913-1454
  • Fax: 310-644-1331
Mailing address:
  • Phone: 310-913-1454
  • Fax: 310-644-1331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberA055720
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: