1023287489 NPI number — ELSA AGHAIAN M.D.

Table of content: ELSA AGHAIAN M.D. (NPI 1023287489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023287489 NPI number — ELSA AGHAIAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
AGHAIAN
Provider First Name:
ELSA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023287489
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
607 N. CENTRAL AVE.
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
GLENDALE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91203-1804
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-956-1010
Provider Business Mailing Address Fax Number:
818-543-6083

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
607 N. CENTRAL AVE.
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91203-1808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-956-1010
Provider Business Practice Location Address Fax Number:
818-543-6083
Provider Enumeration Date:
02/29/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  A97896 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1023287489 . This is a "NPI" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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