Basic Information
| Provider Information | |||||||||
| NPI: | 1154686624 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARASHVAND INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2608 THOMAS DR | ||||||||
| Address2: | APT 300 | ||||||||
| City: | EL CENTRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922437511 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2142264759 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1415 ROSS AVE | ||||||||
| Address2: | EL CENTRO REGIONAL MEDICAL CTR | ||||||||
| City: | EL CENTRO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922434306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603397100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2012 | ||||||||
| LastUpdateDate: | 07/10/2012 | ||||||||
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| AuthorizedOfficialLastName: | ARASHVAND | ||||||||
| AuthorizedOfficialFirstName: | MOJGAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2142264759 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 20A 10170 | CA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.