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NPI Code Detail

MEDICARE: SAMIRA TALEGHANI

MEDICARE:   SAMIRA  TALEGHANI
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1710616313
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMIRA TALEGHANI
Provider Business Mailing Address
First Line : 3161 S SEPULVEDA BLVD APT 109
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-4266
Country : US
Telephone Number : 714-471-8081
Fax Number :
Provider Business Practice Location Address
First Line : 3161 S SEPULVEDA BLVD APT 109
Second Line :
City : LOS ANGELES
State : CA
Zip : 90034-4266
Country : US
Telephone Number : 714-471-8081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/08/2022

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Directions to “ SAMIRA TALEGHANI ” Practice Location

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