Provider Demographics
NPI:1538876495
Name:TAGHINIA, PARASTOO (DAOM)
Entity type:Individual
Prefix:DR
First Name:PARASTOO
Middle Name:
Last Name:TAGHINIA
Suffix:
Gender:F
Credentials:DAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4940 VAN NUYS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1737
Mailing Address - Country:US
Mailing Address - Phone:626-720-2026
Mailing Address - Fax:
Practice Address - Street 1:4940 VAN NUYS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1737
Practice Address - Country:US
Practice Address - Phone:626-720-2026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty