Provider Demographics
NPI:1558348946
Name:AUSTIN, ARMAITY VAGHAIWALLA (MD, MPH, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:ARMAITY
Middle Name:VAGHAIWALLA
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:MD, MPH, FAAFP
Other - Prefix:DR
Other - First Name:ARMAITY
Other - Middle Name:
Other - Last Name:VAGHAIWALLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,
Mailing Address - Street 1:PO BOX 31309
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90031-0309
Mailing Address - Country:US
Mailing Address - Phone:323-247-3727
Mailing Address - Fax:
Practice Address - Street 1:1400 S GRAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3048
Practice Address - Country:US
Practice Address - Phone:323-247-3727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZA17799207Q00000X
CAA42707207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43669Medicare UPIN