Provider Demographics
NPI:1013228188
Name:APELIAN MEDICAL INC
Entity Type:Organization
Organization Name:APELIAN MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARBIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:APELIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-781-3110
Mailing Address - Street 1:14624 SHERMAN WAY
Mailing Address - Street 2:STE 603
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-2241
Mailing Address - Country:US
Mailing Address - Phone:818-781-3110
Mailing Address - Fax:818-781-3862
Practice Address - Street 1:14624 SHERMAN WAY
Practice Address - Street 2:STE 603
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-2241
Practice Address - Country:US
Practice Address - Phone:818-781-3110
Practice Address - Fax:818-781-3862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA106296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFA1654424OtherDEA