Provider Demographics
NPI:1871890160
Name:SAHAG A ARSLANIAN MD, A MEDICAL CORPORATION
Entity type:Organization
Organization Name:SAHAG A ARSLANIAN MD, A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAHAG
Authorized Official - Middle Name:AGOP
Authorized Official - Last Name:ARSLANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-244-5444
Mailing Address - Street 1:1241 S GLENDALE AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-3388
Mailing Address - Country:US
Mailing Address - Phone:818-244-5444
Mailing Address - Fax:818-243-0193
Practice Address - Street 1:1241 S GLENDALE AVE STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-3388
Practice Address - Country:US
Practice Address - Phone:818-244-5444
Practice Address - Fax:818-243-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC37370207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA36590Medicare UPIN