Sarvenaz Atighetchi

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Porter Ranch, CA

NPI 1982371035 · NPPES record last updated Aug 26, 2021

Key facts

NPI
1982371035
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
48100 (CA)
Practice address
19812 Mariposa Pines Way
Porter Ranch, CA 91326-4138
Phone
(818) 744-2890
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
48100CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 48100 CA Yes

Addresses

Primary practice location

19812 Mariposa Pines Way
Porter Ranch, CA 91326-4138

Mailing address

2215 Alcazar St
Los Angeles, CA 90033-1003
Phone (818) 744-2890

Other providers in Porter Ranch, CA

All providers in Porter Ranch, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.