Provider Demographics
NPI:1114556263
Name:ARM 4 ARM FOUNDATION
Entity Type:Organization
Organization Name:ARM 4 ARM FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUNIATYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-730-3467
Mailing Address - Street 1:12439 MAGNOLIA BLVD STE 152
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-2450
Mailing Address - Country:US
Mailing Address - Phone:818-730-3467
Mailing Address - Fax:
Practice Address - Street 1:231 W VERNON AVE.
Practice Address - Street 2:SUITE 101, 201
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037
Practice Address - Country:US
Practice Address - Phone:818-730-3467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)