Artavia, Luis A
Artavia, Luis A is an individual health care provider with primary practice located at 191 S Buena Vista St Suite 420, Burbank CA 91505-4554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Artavia, Luis A can be contacted via phone (818) 562-3630.Contact Information
Primary practice address
191 S Buena Vista St Suite 420
Burbank CA 91505-4554
Phone: (818) 562-3630
Fax: (818) 567-0658
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | A76188 | California |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A76188 | California |
Profile Details
NPI number | 1407885577 |
---|---|
LBN Legal business name | Artavia, Luis A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2006 |
Last updated | Nov 5th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407885577 | NPPES |
California | MEDICAID | HAP70768F | |
California | MEDICAID | 1516008 | |
California | MEDICAID | EAP70768F | |
California | MEDICAID | FHC70768F |
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