Provider Demographics
NPI:1538448741
Name:JOBRANI, ARASH JOSEPH
Entity type:Individual
Prefix:
First Name:ARASH
Middle Name:JOSEPH
Last Name:JOBRANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6957 N FIGUEROA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-1245
Mailing Address - Country:US
Mailing Address - Phone:818-235-9142
Mailing Address - Fax:443-588-2995
Practice Address - Street 1:10787 WILSHIRE BOULEVARD
Practice Address - Street 2:SUITE #1002
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024
Practice Address - Country:US
Practice Address - Phone:818-235-9142
Practice Address - Fax:443-588-2995
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2024-07-31
Deactivation Date:2018-10-12
Deactivation Code:
Reactivation Date:2018-10-25
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner