=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467683979
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARASH R. HASSID D P M, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2009
-----------------------------------------------------
Last Update Date | 07/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1260 15TH ST STE 707
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-273-4243
-----------------------------------------------------
Fax | 424-273-6362
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1260 15TH ST STE 707
-----------------------------------------------------
City | SANTA MONICA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90404-1142
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-273-4243
-----------------------------------------------------
Fax | 424-273-6362
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PODIATRIST
-----------------------------------------------------
Name | DR. ARASH ROBIN HASSID
-----------------------------------------------------
Credential | D.P.M.
-----------------------------------------------------
Telephone | 424-273-4243
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP1100X
-----------------------------------------------------
Taxonomy Name | Podiatric Clinic/Center
-----------------------------------------------------
License Number | E4743
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------