Provider Demographics
NPI:1003116427
Name:LUDVIK ARTINYAN MD
Entity Type:Organization
Organization Name:LUDVIK ARTINYAN MD
Other - Org Name:A LA MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUDVIK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTINYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-535-1179
Mailing Address - Street 1:5300 SANTA MONICA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90029-1131
Mailing Address - Country:US
Mailing Address - Phone:888-535-1179
Mailing Address - Fax:323-617-5023
Practice Address - Street 1:5300 SANTA MONICA BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90029-1131
Practice Address - Country:US
Practice Address - Phone:888-535-1179
Practice Address - Fax:323-617-5023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA50018261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service