Basic Information
| Provider Information | |||||||||
| NPI: | 1174910202 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | KIUMARS ARFAI, M.D. INC. | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | NORTHRIDGE SPECIALTY IMAGING CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19871 NORDHOFF ST | ||||||||
| Address2: | |||||||||
| City: | NORTHRIDGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913243331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183495050 | ||||||||
| FaxNumber: | 8183495052 | ||||||||
| Practice Location | |||||||||
| Address1: | 19871 NORDHOFF ST | ||||||||
| Address2: | |||||||||
| City: | NORTHRIDGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913243331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8183495050 | ||||||||
| FaxNumber: | 8183495052 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/15/2015 | ||||||||
| LastUpdateDate: | 04/15/2015 | ||||||||
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| AuthorizedOfficialLastName: | ARFAI | ||||||||
| AuthorizedOfficialFirstName: | KIUMARS | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8183495050 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR0200X | CA | Y | Ambulatory Health Care Facilities | Clinic/Center | Radiology |
No ID Information.