Healthcare Provider Details

I. General information

NPI: 1932369675
Provider Name (Legal Business Name): AREF BHUIYA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 08/03/2021
Certification Date: 08/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 LINDERO CANYON RD STE 202
WESTLAKE VILLAGE CA
91362-4044
US

IV. Provider business mailing address

5655 LINDERO CANYON RD STE 202
WESTLAKE VILLAGE CA
91362-4044
US

V. Phone/Fax

Practice location:
  • Phone: 818-597-3223
  • Fax: 818-597-4352
Mailing address:
  • Phone: 818-597-3223
  • Fax: 818-597-4352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA67793
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License NumberA67793
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberA67793
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: