MEDICARE: KANI RAHIMIAN KORDESTANI

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
1	183500000X	Pharmacist	90999	CA

General Provider Information

NPI Number	:	1528946431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANI RAHIMIAN KORDESTANI

Provider Business Mailing Address
First Line	:	200 E DANA ST APT 60
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94041-2436
Country	:	US
Telephone Number	:	404-644-9594
Fax Number	:

Provider Business Practice Location Address
First Line	:	459 POWELL ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-1503
Country	:	US
Telephone Number	:	415-984-0793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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Directions to “ KANI RAHIMIAN KORDESTANI ” Practice Location

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