Provider Demographics
NPI:1639430994
Name:SARKISIAN, ARTHUR (LCSW, PSYD CANDIDA)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:
Last Name:SARKISIAN
Suffix:
Gender:M
Credentials:LCSW, PSYD CANDIDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N MARYLAND AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4261
Mailing Address - Country:US
Mailing Address - Phone:818-658-5502
Mailing Address - Fax:818-751-5171
Practice Address - Street 1:230 N MARYLAND AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4261
Practice Address - Country:US
Practice Address - Phone:818-658-5502
Practice Address - Fax:818-751-5171
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA285151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12546578OtherCAQH
CA12546578OtherCAQH