Provider Demographics
NPI:1871647339
Name:GAZARYANTS, ARTHUR (LAC)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:GAZARYANTS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24007 VENTURA BLVD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1458
Mailing Address - Country:US
Mailing Address - Phone:818-999-0300
Mailing Address - Fax:818-591-0549
Practice Address - Street 1:24007 VENTURA BLVD
Practice Address - Street 2:SUITE 130
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1458
Practice Address - Country:US
Practice Address - Phone:818-999-0300
Practice Address - Fax:818-591-0549
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA8420171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist