Healthcare Provider Details

I. General information

NPI: 1881452605
Provider Name (Legal Business Name): ARPINE SARUMYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10343 S WESTERN AVE
CHICAGO IL
60643-2410
US

IV. Provider business mailing address

5327 HERMITAGE AVE UNIT 306
VALLEY VILLAGE CA
91607-2945
US

V. Phone/Fax

Practice location:
  • Phone: 773-238-2828
  • Fax:
Mailing address:
  • Phone: 818-437-2402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: