Provider Demographics
NPI:1306862859
Name:ARZOO, KARO K (MD)
Entity Type:Individual
Prefix:
First Name:KARO
Middle Name:K
Last Name:ARZOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:201 S BUENA VISTA ST STE 200
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4570
Practice Address - Country:US
Practice Address - Phone:818-842-8252
Practice Address - Fax:818-841-8252
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64524207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA645240Medicaid
CAWA64524BMedicare ID - Type Unspecified
CAOOA645240Medicaid
CAH63828Medicare UPIN