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General NPI Number Information
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NPI Number | 1003116427
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Entity Type | Organization
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Legal Business Name | LUDVIK ARTINYAN MD
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 5300 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-1131
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Country | US
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Telephone | 888-535-1179
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Fax | 323-617-5023
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Provider Business Mailing Address
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Address Line | 5300 SANTA MONICA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90029-1131
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Country | US
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Telephone | 888-535-1179
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Fax | 323-617-5023
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUDVIK ARTINYAN
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Credential | M.D.
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Telephone | 888-535-1179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A50018
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License Number State | CA
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