Provider Demographics
NPI:1265449979
Name:KASHANI, PARIVASH (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:PARIVASH
Middle Name:
Last Name:KASHANI
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10525 TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-2327
Mailing Address - Country:US
Mailing Address - Phone:310-824-3499
Mailing Address - Fax:310-824-5190
Practice Address - Street 1:100 UCLA MEDICAL PLZ STE 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-6999
Practice Address - Country:US
Practice Address - Phone:310-824-3499
Practice Address - Fax:310-824-5190
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2566225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOT2566AMedicare PIN