Provider Demographics
NPI:1851618334
Name:ALIPOUR, ARASH (NP-C)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:ALIPOUR
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:ARASH
Other - Middle Name:
Other - Last Name:ALIPOURFERESHTEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:865 COMSTOCK AVE.
Mailing Address - Street 2:#7B
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2010 WILSHIRE BLVD
Practice Address - Street 2:SUITE 900
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90057-3507
Practice Address - Country:US
Practice Address - Phone:213-483-1999
Practice Address - Fax:213-483-1999
Is Sole Proprietor?:No
Enumeration Date:2010-04-23
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26265111N00000X
CA95000272363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No111N00000XChiropractic ProvidersChiropractor