Provider Demographics
NPI:1043609563
Name:AMINIAN, TARANEH (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:TARANEH
Middle Name:
Last Name:AMINIAN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8400 DE LONGPRE AVE APT 403
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-2638
Mailing Address - Country:US
Mailing Address - Phone:925-667-8384
Mailing Address - Fax:
Practice Address - Street 1:8400 DE LONGPRE AVE APT 403
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-2638
Practice Address - Country:US
Practice Address - Phone:925-667-8384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17071225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics