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NPI Code Detail

MEDICARE: LALAGEH YAGHOUBI PT, DPT

MEDICARE:   LALAGEH  YAGHOUBI  PT, DPT
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
1225100000XPhysical Therapist301515CA

General Provider Information

NPI Number : 1205588837
Entity Type Code : Individual
Provider Name (Legal Business Name) : LALAGEH YAGHOUBI PT, DPT
Provider Business Mailing Address
First Line : 1030 S GLENDALE AVE STE 404
Second Line :
City : GLENDALE
State : CA
Zip : 91205-2866
Country : US
Telephone Number : 818-245-6364
Fax Number : 818-350-1119
Provider Business Practice Location Address
First Line : 1030 S GLENDALE AVE STE 404
Second Line :
City : GLENDALE
State : CA
Zip : 91205-2866
Country : US
Telephone Number : 818-397-8784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2022
Last Update Date : 04/08/2026

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Directions to “ LALAGEH YAGHOUBI PT, DPT” Practice Location

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