Basic Information
| Provider Information | |||||||||
| NPI: | 1881694131 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HORIZON | ||||||||
| FirstName: | ARASH | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5762 | ||||||||
| Address2: | |||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902095762 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106597878 | ||||||||
| FaxNumber: | 3106597117 | ||||||||
| Practice Location | |||||||||
| Address1: | 8640 W 3RD ST | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900483384 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3106597878 | ||||||||
| FaxNumber: | 3106597117 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/28/2005 | ||||||||
| LastUpdateDate: | 10/23/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | A69767 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 00A697670 | 01 | CA | BLUE SHIELD | OTHER | 200009572 | 01 | CA | BLUE CROSS | OTHER | 00A697670 | 05 | CA | MEDICAID |