Basic Information
Provider Information
NPI: 1952411316
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMAN
FirstName: KAMBIZ
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 501 S IDAHO ST
Address2: SUITE 100
City: LA HABRA
State: CA
PostalCode: 906316047
CountryCode: US
TelephoneNumber: 5626900400
FaxNumber: 5626903182
Practice Location
Address1: 501 S IDAHO ST
Address2: SUITE 100
City: LA HABRA
State: CA
PostalCode: 906316047
CountryCode: US
TelephoneNumber: 5626900400
FaxNumber: 5626903182
Other Information
ProviderEnumerationDate: 08/30/2006
LastUpdateDate: 01/27/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA 31970CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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