Provider Demographics
NPI:1578950820
Name:ARSHIA ROOHIAN DPM INC.
Entity Type:Organization
Organization Name:ARSHIA ROOHIAN DPM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARSHI
Authorized Official - Middle Name:Z
Authorized Official - Last Name:ROOHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:949-588-8833
Mailing Address - Street 1:PO BOX 16023
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-6023
Mailing Address - Country:US
Mailing Address - Phone:949-588-8833
Mailing Address - Fax:949-588-8826
Practice Address - Street 1:24331 EL TORO ROAD
Practice Address - Street 2:SUITE 370
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637
Practice Address - Country:US
Practice Address - Phone:949-588-8833
Practice Address - Fax:949-588-8826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-23
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4227213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE4227BMedicare PIN
CAU75656Medicare UPIN