Provider Demographics
NPI:1861925182
Name:ARTIN MINAEIAN MD INC
Entity type:Organization
Organization Name:ARTIN MINAEIAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGY DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINAEIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-265-2245
Mailing Address - Street 1:1451 E CHEVY CHASE DR STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4056
Mailing Address - Country:US
Mailing Address - Phone:818-265-2245
Mailing Address - Fax:
Practice Address - Street 1:1451 E CHEVY CHASE DR STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4056
Practice Address - Country:US
Practice Address - Phone:818-265-2245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1358492084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular NeurologyGroup - Single Specialty