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General NPI Number Information
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NPI Number | 1619350527
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Entity Type | Individual
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Provider Name | MRS. VIVIAN KIANI
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Gender | Female
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 4000 W METROPOLITAN DR STE 120
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City | ORANGE
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State | CA
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Zip | 92868-3504
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Country | US
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Telephone | 714-972-3700
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Fax | 714-972-3744
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Provider Business Mailing Address
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Address Line | 23276 S POINTE DR STE 105
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1430
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Country | US
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Telephone | 949-413-7259
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110861
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License Number State | CA
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