Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2566 | CA |
NPI | 1265449979 |
---|---|
Provider Name | Parivash Kashani |
First Address | Los Angeles, CA 90064-2327 |
Second Address | Los Angeles, CA 90024-6999 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 04/12/2007 |