Healthcare Provider Details

I. General information

NPI: 1801976808
Provider Name (Legal Business Name): NEDA MEHRABANI LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. NEDA MEHRABANI

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5543 SYLVIA AVE
TARZANA CA
91356-3119
US

IV. Provider business mailing address

8124 E SPRUCEWOOD AVE
ORANGE CA
92869-5627
US

V. Phone/Fax

Practice location:
  • Phone: 818-606-0016
  • Fax:
Mailing address:
  • Phone: 818-990-5321
  • Fax: 818-990-6953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25902
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number11428
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: