Provider Demographics
NPI:1609118777
Name:THOMASSIAN, ARA (MD)
Entity Type:Individual
Prefix:DR
First Name:ARA
Middle Name:
Last Name:THOMASSIAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:12660 RIVERSIDE DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-3429
Mailing Address - Country:US
Mailing Address - Phone:818-487-0040
Mailing Address - Fax:818-487-0050
Practice Address - Street 1:12660 RIVERSIDE DR
Practice Address - Street 2:SUITE 215
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-3429
Practice Address - Country:US
Practice Address - Phone:818-487-0040
Practice Address - Fax:818-487-0050
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-26
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA132991207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine