Healthcare Provider Details

I. General information

NPI: 1609795327
Provider Name (Legal Business Name): TALAR KAZANJIAN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 ROLLING OAKS DR STE 250
THOUSAND OAKS CA
91361-1087
US

IV. Provider business mailing address

325 ROLLING OAKS DR STE 250
THOUSAND OAKS CA
91361-1087
US

V. Phone/Fax

Practice location:
  • Phone: 805-230-1199
  • Fax: 805-230-2143
Mailing address:
  • Phone: 805-230-1199
  • Fax: 805-230-2143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: