Organization Active NPI

Arse Medical Clinic Inc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1063258408
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ARSE MEDICAL CLINIC INC
Practice address
11111 W Olympic Blvd Ste 211
Los Angeles, CA 90064-1842
Phone
(424) 394-7189
NPI assigned
Jul 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sergey Arakelyan
Title
Ceo
Phone
(424) 394-7189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

11111 W Olympic Blvd Ste 211
Los Angeles, CA 90064-1842

Mailing address

11111 W Olympic Blvd Ste 211
Los Angeles, CA 90064-1842
Phone (424) 394-7189

National Provider Directory

National Provider Directory

Locations

11111 W Olympic Blvd
Ste 211
Los Angeles, CA 90064
Phone (424) 394-7189

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720051200000",
    "number": "1063258408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 W OLYMPIC BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641842",
            "telephone_number": "424-394-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 W OLYMPIC BLVD STE 211",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641842",
            "telephone_number": "424-394-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARSE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-04",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A",
        "authorized_official_last_name": "ARAKELYAN",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-394-7189"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.