Basic Information
Provider Information
NPI: 1306035050
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DANIELYAN
FirstName: ARMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1326
Address2:  
City: LAFAYETTE
State: CA
PostalCode: 945491326
CountryCode: US
TelephoneNumber: 9253858535
FaxNumber:  
Practice Location
Address1: 2740 GRANT ST
Address2:  
City: CONCORD
State: CA
PostalCode: 945202265
CountryCode: US
TelephoneNumber: 9256744100
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/18/2007
LastUpdateDate: 12/05/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804XA118589CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry

No ID Information.


Home