MEDICARE: MARJAN SADEGHI

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	171100000X	Acupuncturist	16365	CA

General Provider Information

NPI Number	:	1972900850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJAN SADEGHI

Provider Business Mailing Address
First Line	:	2655 1ST ST STE 345
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-1553
Country	:	US
Telephone Number	:	805-864-9290
Fax Number	:	805-864-9291

Provider Business Practice Location Address
First Line	:	2655 1ST ST STE 345
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-1553
Country	:	US
Telephone Number	:	805-864-9290
Fax Number	:	805-864-9291

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

Provider Enumeration Date	:	11/20/2014
Last Update Date	:	02/11/2026

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Directions to “ MARJAN SADEGHI ” Practice Location

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