MEDICARE: PARIVASH KASHANI OTR/L, CHT

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	225XH1200X	Hand Occupational Therapist	2566	CA

General Provider Information

NPI Number	:	1265449979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARIVASH KASHANI OTR/L, CHT

Provider Business Mailing Address
First Line	:	10525 TENNESSEE AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-2327
Country	:	US
Telephone Number	:	310-824-3499
Fax Number	:	310-824-5190

Provider Business Practice Location Address
First Line	:	100 UCLA MEDICAL PLZ STE 305
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-6999
Country	:	US
Telephone Number	:	310-824-3499
Fax Number	:	310-824-5190

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

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	12/04/2007

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