Healthcare Provider Details

I. General information

NPI: 1639034705
Provider Name (Legal Business Name): ANAHITA PIRNAZARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18600 LOS ALIMOS ST
PORTER RANCH CA
91326-2743
US

IV. Provider business mailing address

18600 LOS ALIMOS ST
PORTER RANCH CA
91326-2743
US

V. Phone/Fax

Practice location:
  • Phone: 818-903-1416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN95216009
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: