Provider Demographics
NPI:1831944321
Name:CANLIAN, ARI
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:CANLIAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11444 EDENBERG AVE
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-2110
Mailing Address - Country:US
Mailing Address - Phone:818-642-8353
Mailing Address - Fax:
Practice Address - Street 1:11444 EDENBERG AVE
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2110
Practice Address - Country:US
Practice Address - Phone:818-642-8353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker