Healthcare Provider Details

I. General information

NPI: 1285520940
Provider Name (Legal Business Name): PARVANEH DAYANI L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1492 W COLORADO BLVD STE 120
PASADENA CA
91105-1466
US

IV. Provider business mailing address

538 N SHELTON ST
BURBANK CA
91506-1828
US

V. Phone/Fax

Practice location:
  • Phone: 323-327-3777
  • Fax:
Mailing address:
  • Phone: 678-571-5823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20274
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: