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NPI Code Detail

MEDICARE: ARIANA KHOJASTEH

MEDICARE: ARIANA KHOJASTEH
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1861237588
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIANA KHOJASTEH
Provider Business Mailing Address
First Line : 590 W EL CAMINO REAL
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-2612
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 590 W EL CAMINO REAL
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-2612
Country : US
Telephone Number : 650-965-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2024
Last Update Date : 06/28/2024

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Directions to “ ARIANA KHOJASTEH ” Practice Location

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