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General NPI Number Information
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NPI Number | 1023473873
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Entity Type | Organization
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Legal Business Name | ARASH KHATAMI MD INC
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Dates
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Enumeration Date | 12/22/2015
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 8950 VILLA LA JOLLA DR STE A215
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City | LA JOLLA
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State | CA
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Zip | 92037-1711
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Country | US
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Telephone | 858-367-3020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1770
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City | LA MESA
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State | CA
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Zip | 91944-1770
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Country | US
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Telephone | 512-633-6257
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Fax | 858-754-1331
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Authorized Official
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Title or Position | OWNER
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Name | ARASH KHATAMI
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Credential | M.D.
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Telephone | 858-367-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A114953
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License Number State | CA
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