Provider Demographics
NPI:1588622906
Name:DONABEDIAN, MARAL TOUNA ARPI H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARAL TOUNA ARPI
Middle Name:H
Last Name:DONABEDIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARAL
Other - Middle Name:H
Other - Last Name:DONABEDIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1041
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91209-1041
Mailing Address - Country:US
Mailing Address - Phone:702-738-1153
Mailing Address - Fax:
Practice Address - Street 1:501 S BUENA VISTA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4809
Practice Address - Country:US
Practice Address - Phone:702-738-1153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC54188207R00000X
NV10818207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVP00302811OtherRAILROAD MEDICARE
NVV100883OtherMEDICARE
NV100503080Medicaid
NV88-0368011OtherTAX ID NUMBER
NV74-3177329OtherTHIRD TAX ID NUMBER
NVP00302811OtherRAILROAD MEDICARE
NV100503080Medicaid
NV74-3177329OtherTHIRD TAX ID NUMBER