Provider Demographics
NPI:1619922887
Name:ARMANN, KJARTAN DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KJARTAN
Middle Name:DEAN
Last Name:ARMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 SAMARITAN DRIVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-4108
Mailing Address - Country:US
Mailing Address - Phone:408-356-0578
Mailing Address - Fax:408-356-3986
Practice Address - Street 1:2516 SAMARITAN DRIVE
Practice Address - Street 2:SUITE J
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-4108
Practice Address - Country:US
Practice Address - Phone:408-356-0578
Practice Address - Fax:408-356-3986
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA414132080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A414130OtherBS