Provider Demographics
NPI:1023340312
Name:HENRY, ARSINE ECHIGHIAN (MD)
Entity type:Individual
Prefix:
First Name:ARSINE
Middle Name:ECHIGHIAN
Last Name:HENRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARSINE
Other - Middle Name:
Other - Last Name:ECHIGHIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:14300 WEDDINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-5638
Mailing Address - Country:US
Mailing Address - Phone:310-749-3500
Mailing Address - Fax:
Practice Address - Street 1:444 W GLENOAKS BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-2917
Practice Address - Country:US
Practice Address - Phone:818-552-3108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110891207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine