Healthcare Provider Details

I. General information

NPI: 1841270584
Provider Name (Legal Business Name): AMIR ARFAEI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 N BRENT ST SUITE 406
VENTURA CA
93003-2817
US

IV. Provider business mailing address

168 N BRENT ST SUITE 406
VENTURA CA
93003-2817
US

V. Phone/Fax

Practice location:
  • Phone: 805-653-6371
  • Fax: 805-653-7242
Mailing address:
  • Phone: 805-653-6371
  • Fax: 805-653-7242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberA102199
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA102199
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number0430219
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA102199
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0430219
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: