Active NPI
Arezou Yaghoubian MD, a Professional Medical Corporation
- Plastic and Reconstructive Surgery Physician
- Tarzana, CA
National Provider Identifier
1245728443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A101016
- Legal business name
- AREZOU YAGHOUBIAN MD, A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 18372 Clark St Ste 204
Tarzana, CA 91356-3554 - Phone
- (818) 342-4541
- NPI assigned
- Apr 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Arezou Yaghoubian, MD
- Title
- Owner
- Phone
- (818) 694-8855
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | A101016 | CA | |
| Plastic Surgery Physician | 208200000X | A101016 | CA | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | A101016 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A101016 | CA | Primary |
Addresses
Primary practice location
18372 Clark St Ste 204
Tarzana, CA 91356-3554
Mailing address
24912 Vista Verenda
Woodland Hills, CA 91367-1093
Other practice location 1
7230 Medical Center Dr Ste 208
West Hills, CA 91307-4007
Phone (818) 342-4541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Tarzana, CA
- NPI 1447442595
Hand Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692489600000",
"number": "1245728443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24912 VISTA VERENDA",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913671093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18372 CLARK ST STE 204",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563554",
"telephone_number": "818-342-4541"
}
],
"practiceLocations": [
{
"address_1": "7230 Medical Center Dr Ste 208",
"address_purpose": "LOCATION",
"city": "West Hills",
"state": "CA",
"postal_code": "913074007",
"country_code": "US",
"telephone_number": "818-342-4541",
"fax_number": "818-342-2403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AREZOU YAGHOUBIAN MD, A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-24",
"last_updated": "2023-08-20",
"certification_date": "2023-08-20",
"status": "A",
"authorized_official_last_name": "YAGHOUBIAN",
"authorized_official_first_name": "AREZOU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-694-8855",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "CA",
"license": "A101016",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A101016",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "CA",
"license": "A101016",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A101016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.