MEDICARE: FARNOUSH ARASTEHMANESH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	4928	CA

General Provider Information

NPI Number	:	1134426679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARNOUSH ARASTEHMANESH

Provider Business Mailing Address
First Line	:	1851 VETERAN AVE
Second Line	:	301
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4500
Country	:	US
Telephone Number	:	310-478-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 VETERAN AVE
Second Line	:	301
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4500
Country	:	US
Telephone Number	:	310-478-0068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2011
Last Update Date	:	02/18/2011

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Directions to “ FARNOUSH ARASTEHMANESH ” Practice Location

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