MEDICARE: PARINAZ FARAHANCHI PTA

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	10971	CA

General Provider Information

NPI Number	:	1821952458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARINAZ FARAHANCHI PTA

Provider Business Mailing Address
First Line	:	2010 PAMELA LN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1033
Country	:	US
Telephone Number	:	760-994-3326
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 PAMELA LN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92026-1033
Country	:	US
Telephone Number	:	760-994-3326
Fax Number	:

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

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ PARINAZ FARAHANCHI PTA” Practice Location

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