Provider Demographics
NPI:1184614216
Name:NAIM, ARJANG (MD)
Entity type:Individual
Prefix:DR
First Name:ARJANG
Middle Name:
Last Name:NAIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1407 N VERMONT AVE
Mailing Address - Street 2:A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6023
Mailing Address - Country:US
Mailing Address - Phone:323-913-3377
Mailing Address - Fax:
Practice Address - Street 1:1407 N VERMONT AVE
Practice Address - Street 2:A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6023
Practice Address - Country:US
Practice Address - Phone:323-913-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74735207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A747350Medicaid
CAA74735OtherMEDICAL LICENSE
CA00A747351Medicaid
CAA74735OtherMEDICAL LICENSE
CA00A747350Medicaid