Basic Information
| Provider Information | |||||||||
| NPI: | 1700180213 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARBI OHANIAN, MD, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 50471 | ||||||||
| Address2: | |||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911150471 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6265359344 | ||||||||
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| Practice Location | |||||||||
| Address1: | 625 S FAIR OAKS AVE | ||||||||
| Address2: | 325 | ||||||||
| City: | PASADENA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 911052675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6265359344 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/28/2010 | ||||||||
| LastUpdateDate: | 12/28/2010 | ||||||||
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| AuthorizedOfficialLastName: | OHANIAN | ||||||||
| AuthorizedOfficialFirstName: | ARBI | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6265359344 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | A89407 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.