Provider Demographics
NPI:1841411568
Name:AFARI, ARASH (MD)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:AFARI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2355 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 259
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2109
Mailing Address - Country:US
Mailing Address - Phone:800-626-8315
Mailing Address - Fax:
Practice Address - Street 1:2080 CENTURY PARK E
Practice Address - Street 2:SUITE 1410
Practice Address - City:CENTURY CITY
Practice Address - State:CA
Practice Address - Zip Code:90067-2001
Practice Address - Country:US
Practice Address - Phone:800-626-8315
Practice Address - Fax:800-650-0615
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA978662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9271152OtherAETNA
CA262525075-0004OtherCIGNA
CAZZZ53210YOtherUNITED HEALTHCARE
CA1982861852OtherCALIFORNIA'S VALUED TRUST
CA262525075OtherANTHEM BLUE CROSS
CAZZZ53210YOtherBLUESHIELD/TRICARE
CA00A978660Medicaid
CA9271152OtherAETNA