MEDICARE: DR. ARASH ALI DINI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	A127823	CA
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	A127823	CA

General Provider Information

NPI Number	:	1841433547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARASH ALI DINI M.D.

Provider Business Mailing Address
First Line	:	4415 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-4242
Country	:	US
Telephone Number	:	323-525-0101
Fax Number	:	323-525-1001

Provider Business Practice Location Address
First Line	:	4415 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90019-4242
Country	:	US
Telephone Number	:	323-525-0101
Fax Number	:	323-525-1001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2009
Last Update Date	:	11/16/2015

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