Provider Demographics
NPI:1477558120
Name:ISAIANTS, ARAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARAM
Middle Name:
Last Name:ISAIANTS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N CENTRAL AVE
Mailing Address - Street 2:STE 900
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-3905
Mailing Address - Country:US
Mailing Address - Phone:818-244-1732
Mailing Address - Fax:818-244-1733
Practice Address - Street 1:500 N CENTRAL AVE
Practice Address - Street 2:STE 900
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-3905
Practice Address - Country:US
Practice Address - Phone:818-244-1732
Practice Address - Fax:818-244-1733
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-18
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4152213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E41521Medicaid
CA000E41523Medicaid
CAE4152Medicare ID - Type Unspecified
CAU70713Medicare UPIN
CA1299490001Medicare NSC