Provider Demographics
NPI:1740345503
Name:AROESTY, DAVID JULIAN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JULIAN
Last Name:AROESTY
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 1:4418 VINELAND AV
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91602
Mailing Address - Country:US
Mailing Address - Phone:818-763-7366
Mailing Address - Fax:818-763-1809
Practice Address - Street 1:4418 VINELAND AV
Practice Address - Street 2:SUITE 202
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91602
Practice Address - Country:US
Practice Address - Phone:818-763-7366
Practice Address - Fax:818-763-1809
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG48063207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9866618Medicaid
CA9866618Medicaid
CAG48063Medicare ID - Type Unspecified