Provider Demographics
NPI:1922477108
Name:ZAMANIAN, RAY TAHMASEB (PTA)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:TAHMASEB
Last Name:ZAMANIAN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15331 SAVERNE CIR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-2942
Mailing Address - Country:US
Mailing Address - Phone:949-702-7041
Mailing Address - Fax:949-552-5472
Practice Address - Street 1:33 CREEK RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4791
Practice Address - Country:US
Practice Address - Phone:949-552-5572
Practice Address - Fax:949-552-5472
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT 1804261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy