Healthcare Provider Details
I. General information
NPI: 1669564621
Provider Name (Legal Business Name): SHEILA ARZANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3565 DEL AMO BLVD
TORRANCE CA
90503-1637
US
IV. Provider business mailing address
3565 DEL AMO BLVD
TORRANCE CA
90503-1637
US
V. Phone/Fax
- Phone: 310-214-0811
- Fax: 310-214-9745
- Phone: 310-214-0811
- Fax: 310-214-9745
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | A79262 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: