Healthcare Provider Details

I. General information

NPI: 1487033213
Provider Name (Legal Business Name): ARIN ABRAMIAN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 10/18/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 JONES WAY STE 9
SIMI VALLEY CA
93065-1218
US

IV. Provider business mailing address

2650 JONES WAY STE 9
SIMI VALLEY CA
93065-1218
US

V. Phone/Fax

Practice location:
  • Phone: 805-915-4440
  • Fax: 805-915-4327
Mailing address:
  • Phone: 805-915-4440
  • Fax: 805-915-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95002281
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number95002281
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: