Provider Demographics
NPI:1144377441
Name:ALIKIAN, ARLENE (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:ALIKIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 E THOUSAND OAKS BLVD
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91362-2942
Mailing Address - Country:US
Mailing Address - Phone:805-374-7874
Mailing Address - Fax:805-374-7876
Practice Address - Street 1:2125 E THOUSAND OAKS BLVD
Practice Address - Street 2:SUITE B-2
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362-2942
Practice Address - Country:US
Practice Address - Phone:805-374-7874
Practice Address - Fax:805-374-7876
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71828208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics