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:
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Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407885577 NPPES
California MEDICAID HAP70768F
California MEDICAID 1516008
California MEDICAID EAP70768F
California MEDICAID FHC70768F

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