Provider Demographics
NPI:1659302677
Name:TARIGHI-SADRIEH, NAHID (RPT,PHD)
Entity Type:Individual
Prefix:PROF
First Name:NAHID
Middle Name:
Last Name:TARIGHI-SADRIEH
Suffix:
Gender:F
Credentials:RPT,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 N HARBOR BLVD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-4124
Mailing Address - Country:US
Mailing Address - Phone:714-525-0887
Mailing Address - Fax:714-525-8685
Practice Address - Street 1:1321 N HARBOR BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-4124
Practice Address - Country:US
Practice Address - Phone:714-525-0887
Practice Address - Fax:714-525-8685
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10365208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT10365AMedicare ID - Type UnspecifiedPROVIDER NUMBER