Provider Demographics
NPI:1912590662
Name:ARBANI, PARVANEH A (RN)
Entity Type:Individual
Prefix:
First Name:PARVANEH
Middle Name:A
Last Name:ARBANI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14457 ROSCOE BLVD
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3012
Mailing Address - Country:US
Mailing Address - Phone:818-810-5947
Mailing Address - Fax:
Practice Address - Street 1:22030 SHERMAN WAY STE 211
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1882
Practice Address - Country:US
Practice Address - Phone:818-810-5947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-13
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA847269163WX0200X
CA1912590662363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WX0200XNursing Service ProvidersRegistered NurseOncologyGroup - Single Specialty