Provider Demographics
NPI:1295602290
Name:SHAHNAZI, JOANNE
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:SHAHNAZI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8748 FARRALONE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91304-1306
Mailing Address - Country:US
Mailing Address - Phone:818-496-4529
Mailing Address - Fax:818-496-4709
Practice Address - Street 1:8748 FARRALONE AVE
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91304-1306
Practice Address - Country:US
Practice Address - Phone:818-496-4529
Practice Address - Fax:818-496-4709
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6353225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty