Provider Demographics
NPI:1073507968
Name:ROOHIAN, ARSHIA Z (DPM)
Entity type:Individual
Prefix:DR
First Name:ARSHIA
Middle Name:Z
Last Name:ROOHIAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 16023
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-6023
Mailing Address - Country:US
Mailing Address - Phone:949-588-8833
Mailing Address - Fax:949-588-8826
Practice Address - Street 1:24331 EL TORO RD
Practice Address - Street 2:STE 370
Practice Address - City:LAGUNA WOODS
Practice Address - State:CA
Practice Address - Zip Code:92637-3104
Practice Address - Country:US
Practice Address - Phone:949-588-8833
Practice Address - Fax:949-588-8826
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4227213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U75656Medicare UPIN
CA4399890001Medicare NSC
CAE4227BMedicare PIN