Provider Demographics
NPI:1891966917
Name:ARASH NOURPARVAR, MD, INC
Entity Type:Organization
Organization Name:ARASH NOURPARVAR, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOURPARVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-783-2000
Mailing Address - Street 1:16311 VENTURA BLVD
Mailing Address - Street 2:SUITE 880
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2124
Mailing Address - Country:US
Mailing Address - Phone:818-783-2000
Mailing Address - Fax:818-783-5583
Practice Address - Street 1:16311 VENTURA BLVD
Practice Address - Street 2:SUITE 880
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2124
Practice Address - Country:US
Practice Address - Phone:818-783-2000
Practice Address - Fax:818-783-5583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA71773207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW16802Medicare PIN