Most Relevant Information
Provider Data
| NPI Number: | 1003535089 |
| Provider Name: | KIANA FARSAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2022 |
| Last Updated: | 03/06/2024 |
Provider Practice Location
14624 SHERMAN WAY STE 508
VAN NUYS
CA
914052289
Practice Location Phone/Fax
| Phone: | 8189084999 |
| Fax: |
Provider Mailing Location
342 HAUSER BLVD APT 129
LOS ANGELES
CA
900365617
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |