Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | A40162 | CA |
N | 207V00000X | Obstetrician & Gynecologist | A40162 | CA |
N | 207VE0102X | Reproductive Endocrinologist | A40162 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A40162 | CA |
N | 207VG0400X | Gynecologist | A40162 | CA |
N | 208200000X | Surgeon | A40162 | CA |
N | 208600000X | Surgeon | A40162 | CA |
NPI | 1457450439 |
---|---|
Provider Name | Dr. Ara A Poladian |
First Address | North Hollywood, CA 91602-2236 |
Second Address | North Hollywood, CA 91602-2236 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 16/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8880117 | (05) | CA |
A85396 | (02) | CA |