Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 256801 | MA |
N | 2084N0400X | Neurologist | 274513 | NY |
Y | 2084N0400X | Neurologist | A135849 | CA |
N | 2084V0102X | Vascular Neurology | 274513 | NY |
NPI | 1013356344 |
---|---|
Provider Name | Artin Minaeian |
First Address | Glendale, CA 91206-4056 |
Second Address | Glendale, CA 91206-4056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 21/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1013356344 | (05) | CA |