Healthcare Provider Details

I. General information

NPI: 1285478495
Provider Name (Legal Business Name): ERICK GEOVANNY ARGUETA CATALAN BHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date: 07/10/2025
Reactivation Date: 06/19/2026

III. Provider practice location address

18646 OXNARD ST
TARZANA CA
91356-1486
US

IV. Provider business mailing address

2318 PEYTON AVE
BURBANK CA
91504-2734
US

V. Phone/Fax

Practice location:
  • Phone: 818-287-9432
  • Fax:
Mailing address:
  • Phone: 818-287-9432
  • Fax: 818-287-9432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberMPSS-NCMTIQ
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: