Provider Demographics
NPI:1023291770
Name:SAHAG A ARSLANIAN MD INC A MEDICAL CORPORATION
Entity type:Organization
Organization Name:SAHAG A ARSLANIAN MD INC A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SAHAG
Authorized Official - Middle Name:AGOP
Authorized Official - Last Name:ARSLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-881-9067
Mailing Address - Street 1:5525 ETIWANDA AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3609
Mailing Address - Country:US
Mailing Address - Phone:818-881-9067
Mailing Address - Fax:
Practice Address - Street 1:5525 ETIWANDA AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-881-9067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2018-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37370291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C373700Medicaid
CA00C373700Medicaid