Provider Demographics
NPI:1558300582
Name:MATIAN, ARASH DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:DAVID
Last Name:MATIAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:13425 VENTURA BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3974
Mailing Address - Country:US
Mailing Address - Phone:818-995-7784
Mailing Address - Fax:818-995-7786
Practice Address - Street 1:13425 VENTURA BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3974
Practice Address - Country:US
Practice Address - Phone:818-995-7784
Practice Address - Fax:818-995-7786
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2022-08-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A7841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW21970Medicare UPIN