Sonbol Tahereh Moini, LAC MTOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC4505 Issued in CA

Practice address

1821 Wilshire Blvd
Suite 610
Santa Monica, CA 90403

Phone

(310) 315-3090

Fax

(310) 453-8056

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonbol Tahereh Abedian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891917142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-315-3090",
            "fax_number": "310-453-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 WILSHIRE BLVD",
            "address_2": "SUITE 610",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "90403",
            "telephone_number": "310-315-3090",
            "fax_number": "310-453-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINI",
        "first_name": "SONBOL",
        "middle_name": "TAHEREH",
        "credential": "LAC MTOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC4505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "AC0045050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONBOL",
            "last_name": "ABEDIAN",
            "middle_name": "TAHEREH",
            "credential": "LAC MTOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ana Mohammad-Zadeh
• Ramy Moharram, PA-C
• Daniella Mohazab
• Muneeb Mohideen, MD
• Mandakini Mohindra, MD
• Nicolette Simone Mojica-Concklin, MD
• Michale Bandoy Molinyawe
• Cooper Moll
• Molly Schaffer, Marriage & Family Therapist, PC
• Moment Health

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.