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General NPI Number Information
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NPI Number | 1194063537
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Entity Type | Organization
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Legal Business Name | ARASH YAGHOOBIAN M.D. CORP
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Dates
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Enumeration Date | 01/18/2013
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Last Update Date | 01/31/2020
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Provider Practice Location Address
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Address Line | 5651 SEPULVEDA BLVD STE 201
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-2954
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Country | US
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Telephone | 310-755-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 5651 SEPULVEDA BLVD STE 201
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City | SHERMAN OAKS
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State | CA
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Zip | 91411-2954
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | RAYMOND ISKANDER
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Credential |
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Telephone | 818-585-9269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A115226
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License Number State | CA
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