=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366245029
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFSHIN ARIANJAM, MD INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/28/2025
-----------------------------------------------------
Last Update Date | 03/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3110 CHINO AVE STE 230
-----------------------------------------------------
City | CHINO HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91709-1282
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-788-1900
-----------------------------------------------------
Fax | 909-788-1901
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2058 N MILLS AVE # 519
-----------------------------------------------------
City | CLAREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91711-2812
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax | 888-639-3051
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DR. AFSHIN ARIANJAM
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 626-393-1287
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------