Provider Demographics
NPI:1851528137
Name:HARIJAN, ARAM (MD)
Entity Type:Individual
Prefix:
First Name:ARAM
Middle Name:
Last Name:HARIJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARAM
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9500 EL GRANITO AVE
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-4208
Mailing Address - Country:US
Mailing Address - Phone:858-717-5029
Mailing Address - Fax:
Practice Address - Street 1:151 CLAYDELLE AVE
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4505
Practice Address - Country:US
Practice Address - Phone:858-717-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA117203208D00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA390200000XOtherUCSF-EB