Provider Demographics
NPI:1144415266
Name:DERIAN, ARBI (DC)
Entity Type:Individual
Prefix:MR
First Name:ARBI
Middle Name:
Last Name:DERIAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1353 N ALTADENA DR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1401
Mailing Address - Country:US
Mailing Address - Phone:626-398-5438
Mailing Address - Fax:626-398-5439
Practice Address - Street 1:1353 N ALTADENA DR
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1401
Practice Address - Country:US
Practice Address - Phone:626-398-5438
Practice Address - Fax:626-398-5439
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor