Healthcare Provider Details

I. General information

NPI: 1265379218
Provider Name (Legal Business Name): FATANEH ZARGAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7829 5TH ST
DOWNEY CA
90241-2201
US

IV. Provider business mailing address

7829 5TH ST
DOWNEY CA
90241-2201
US

V. Phone/Fax

Practice location:
  • Phone: 562-396-7897
  • Fax:
Mailing address:
  • Phone: 562-396-7897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14635
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: