Healthcare Provider Details

I. General information

NPI: 1730306317
Provider Name (Legal Business Name): CYNTHIA ANNE TALEGHANI OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CYNTHIA MACKEN OT

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23293 SOUTH POINTE DR.
LAGUNA HILLS CA
92683
US

IV. Provider business mailing address

21 BUENAVENTURA
RANCHO SANTA MARGARITA CA
92688-3102
US

V. Phone/Fax

Practice location:
  • Phone: 949-770-5843
  • Fax:
Mailing address:
  • Phone: 949-635-9210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0003615
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: