Provider Demographics
NPI:1356674345
Name:ARISON, JOSEPH TERALIS (LAC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TERALIS
Last Name:ARISON
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9615 BRIGHTON WAY
Mailing Address - Street 2:SUITE 320
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5131
Mailing Address - Country:US
Mailing Address - Phone:310-550-0380
Mailing Address - Fax:310-550-0370
Practice Address - Street 1:9615 BRIGHTON WAY
Practice Address - Street 2:SUITE 320
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5131
Practice Address - Country:US
Practice Address - Phone:310-550-0380
Practice Address - Fax:310-550-0370
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 1455171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist