Provider Demographics
NPI:1457328254
Name:SALIBIAN, ARTHUR HAGOP (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:HAGOP
Last Name:SALIBIAN
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 1:1310 W STEWART DRIVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3837
Mailing Address - Country:US
Mailing Address - Phone:714-997-4848
Mailing Address - Fax:714-997-4847
Practice Address - Street 1:1310 W STEWART DRIVE
Practice Address - Street 2:SUITE 211
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3837
Practice Address - Country:US
Practice Address - Phone:714-997-4848
Practice Address - Fax:714-997-4847
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30797208200000X
AZ33812208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A30797Medicaid
CAA30797Medicare ID - Type Unspecified
CAA26238Medicare UPIN