Healthcare Provider Details

I. General information

NPI: 1730816380
Provider Name (Legal Business Name): TASNIA RAHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 W 22ND ST
LOS ANGELES CA
90007-1405
US

IV. Provider business mailing address

6309 CORD AVE
PICO RIVERA CA
90660-3321
US

V. Phone/Fax

Practice location:
  • Phone: 213-351-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number373H00000X
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: