Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | A90321 | CA |
NPI | 1023204518 |
---|---|
Provider Name | Dr. Arash Lavian |
First Address | Santa Monica, CA 90404-2139 |
Second Address | Santa Monica, CA 90404-2139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 25/11/2008 |