Provider Demographics
NPI:1417178526
Name:ARBET, KARYN MARSEILLE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:KARYN
Middle Name:MARSEILLE
Last Name:ARBET
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 W MANCHESTER AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3056
Mailing Address - Country:US
Mailing Address - Phone:323-778-6215
Mailing Address - Fax:323-778-6312
Practice Address - Street 1:1704 W MANCHESTER AVE STE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-3056
Practice Address - Country:US
Practice Address - Phone:323-778-6215
Practice Address - Fax:323-778-6312
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13172363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA 13172OtherPHYSICIAN ASSISTANT