Provider Demographics
NPI:1245107903
Name:VAHRAMYAN, ARTUR
Entity type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:VAHRAMYAN
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20152 ACRE ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:CA
Mailing Address - Zip Code:91306-1102
Mailing Address - Country:US
Mailing Address - Phone:747-243-7965
Mailing Address - Fax:
Practice Address - Street 1:20152 ACRE ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:CA
Practice Address - Zip Code:91306-1102
Practice Address - Country:US
Practice Address - Phone:747-243-7965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197610784310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility