Provider Demographics
NPI:1003451550
Name:SOHRABI, FARISHTA (DAOM)
Entity Type:Individual
Prefix:DR
First Name:FARISHTA
Middle Name:
Last Name:SOHRABI
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 1:11901 RUBILITE WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8071
Mailing Address - Country:US
Mailing Address - Phone:916-549-9817
Mailing Address - Fax:
Practice Address - Street 1:3301 ALTA EXPRESSWAY #7
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-9582
Practice Address - Country:US
Practice Address - Phone:916-549-9817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-07
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18607171100000X
CAAC18607171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist