Provider Demographics
NPI:1407523806
Name:ARIANA WELLNESS CENTER
Entity Type:Organization
Organization Name:ARIANA WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FOROUGH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALLAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-212-8339
Mailing Address - Street 1:4 PAVONA
Mailing Address - Street 2:
Mailing Address - City:NEWPORT COAST
Mailing Address - State:CA
Mailing Address - Zip Code:92657-1217
Mailing Address - Country:US
Mailing Address - Phone:949-212-8339
Mailing Address - Fax:949-502-8887
Practice Address - Street 1:4 PAVONA
Practice Address - Street 2:
Practice Address - City:NEWPORT COAST
Practice Address - State:CA
Practice Address - Zip Code:92657-1217
Practice Address - Country:US
Practice Address - Phone:949-212-8339
Practice Address - Fax:949-502-8887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care