Provider Demographics
NPI:1992848030
Name:SALATINI, FARZANEH (OD)
Entity Type:Individual
Prefix:DR
First Name:FARZANEH
Middle Name:
Last Name:SALATINI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27881 LA PAZ RD STE G
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-3933
Mailing Address - Country:US
Mailing Address - Phone:949-416-4734
Mailing Address - Fax:
Practice Address - Street 1:27881 LA PAZ RD STE G
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-3933
Practice Address - Country:US
Practice Address - Phone:949-416-4734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14871152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist