Healthcare Provider Details

I. General information

NPI: 1447983564
Provider Name (Legal Business Name): FARIBA TOHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2022
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24141 VENTURA BLVD
CALABASAS CA
91302-1449
US

IV. Provider business mailing address

7933 CASABA AVE
WINNETKA CA
91306-2244
US

V. Phone/Fax

Practice location:
  • Phone: 818-477-1667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number469116
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: