Provider Demographics
NPI:1154863256
Name:HIGHER DOCTOR'S INC.
Entity type:Organization
Organization Name:HIGHER DOCTOR'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:ARUTYUNOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-220-4898
Mailing Address - Street 1:19231 SHERMAN WAY UNIT 23
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-3537
Mailing Address - Country:US
Mailing Address - Phone:818-220-4898
Mailing Address - Fax:
Practice Address - Street 1:19231 SHERMAN WAY UNIT 23
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-3537
Practice Address - Country:US
Practice Address - Phone:818-220-4898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137892207R00000X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty