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NPI Code Detail

MEDICARE: MS. FERESHTEH PIRAN

MEDICARE: MS. FERESHTEH PIRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist6838CA

General Provider Information

NPI Number : 1467796979
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. FERESHTEH PIRAN
Provider Business Mailing Address
First Line : 12656 SPRINGBROOK DR
Second Line : #A
City : SAN DIEGO
State : CA
Zip : 92128-5029
Country : US
Telephone Number : 619-306-0567
Fax Number :
Provider Business Practice Location Address
First Line : 111 ELM ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2692
Country : US
Telephone Number : 619-677-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2012
Last Update Date : 11/21/2012

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Directions to “ MS. FERESHTEH PIRAN ” Practice Location

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