Basic Information
Provider Information
NPI: 1740623289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAC
FirstName: AHMET
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 710 WESTWOOD PLZ RM 3232
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900958353
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 300 UCLA MEDICAL PLZ # B200
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900955201
CountryCode: US
TelephoneNumber: 3107941195
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/15/2013
LastUpdateDate: 01/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XA138334CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology

No ID Information.


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