Provider Demographics
NPI:1295197200
Name:TASHKANDI, PEYMAN (DO)
Entity type:Individual
Prefix:DR
First Name:PEYMAN
Middle Name:
Last Name:TASHKANDI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 N ROXBURY DR STE 407
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5006
Mailing Address - Country:US
Mailing Address - Phone:424-303-8188
Mailing Address - Fax:424-326-1994
Practice Address - Street 1:435 N ROXBURY DR STE 407
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5006
Practice Address - Country:US
Practice Address - Phone:424-303-8188
Practice Address - Fax:424-326-1994
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A166182084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry