Basic Information
Provider Information
NPI: 1760826218
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARIKH
FirstName: ARPAN
MiddleName: ANIL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 12900 PARK PLAZA DR STE 150
Address2:  
City: CERRITOS
State: CA
PostalCode: 907039329
CountryCode: US
TelephoneNumber: 5626772414
FaxNumber:  
Practice Location
Address1: 12900 PARK PLAZA DR STE 150
Address2:  
City: CERRITOS
State: CA
PostalCode: 907039329
CountryCode: US
TelephoneNumber: 5626772414
FaxNumber: 5627414479
Other Information
ProviderEnumerationDate: 04/26/2013
LastUpdateDate: 02/05/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/05/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X167199CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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