Provider Demographics
NPI:1982861852
Name:ARASH AFARI PROFESSIONAL MEDICAL CORPORATION
Entity Type:Organization
Organization Name:ARASH AFARI PROFESSIONAL MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARASH
Authorized Official - Middle Name:
Authorized Official - Last Name:AFARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1800-626-8315
Mailing Address - Street 1:2355 WESTWOOD BLVD
Mailing Address - Street 2:STE.259
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2109
Mailing Address - Country:US
Mailing Address - Phone:180-062-6831
Mailing Address - Fax:180-065-0061
Practice Address - Street 1:2355 WESTWOOD BLVD
Practice Address - Street 2:STE.259
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-2109
Practice Address - Country:US
Practice Address - Phone:180-062-6831
Practice Address - Fax:180-065-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology