MS. BANAFSHEH VIOLETTE MORTAZAVI


Address: 9555 Foothill Blvd, Suite 'b', Rancho Cucamonga, CA 91730-3575
Phone: 9094667363

MS. BANAFSHEH VIOLETTE MORTAZAVI (NPI# 1558404764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558404764
Entity Type Individual
Full Name MS. BANAFSHEH VIOLETTE MORTAZAVI
Credential MS.,L.AC.
Practice Address 9555 Foothill Blvd
Suite 'b'
Rancho Cucamonga
CA 91730-3575
Mailing Address 2341 Ohio Dr
Claremont
CA 91711-1933
Practice Telephone 9094667363
Practice Fax Number 9094667365
Mailing Telephone 6265428048
Mailing Fax Number 9094667363
Enumeration Date 2007-02-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist AC 10989 CA Other Service Providers

Office Location

Street Address 9555 FOOTHILL BLVD
SUITE 'B'
City RANCHO CUCAMONGA
State CA
Zip Code 91730-3575

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1497300180 Laura Estela Le Behavior Technician 8350 Archilbald Ave Ste 110, Rancho Cucamonga, CA 91730 2019-08-08
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1568023745 Mariah Wright Behavior Technician 10532 Arcacia St, B-11, Rancho Cucamonga, CA 91730 2019-06-27
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144750662 Lucia Chang Acupuncturist 7974 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-3052 2017-06-18
1891115267 Laura Sciurba Acupuncturist 8645 Haven Ave., Suite 550, Rancho Cucamonga, CA 91730 2014-04-23
1265856314 Sunshine Massage Acupuncturist 11819 Foothill Blvd, Suite C, Rancho Cucamonga, CA 91730-3937 2014-02-10
1437586377 Sam J Wang Acupuncturist 10261 Trademark St, Unit # B, Rancho Cucamonga, CA 91730-5805 2013-10-10
1538408083 Fu Hua Yang Acupuncturist 6331 Haven Ave Ste 7, Rancho Cucamonga, CA 91737-6940 2013-02-04
1255610176 Qi Wu Acupuncturist 11920 Foothill Blvd Ste 120, Rancho Cucamonga, CA 91739-9373 2011-08-09
1407001910 Mary Ann Scott Acupuncturist 8503 Red Hill Country Club Dr, Rancho Cucamonga, CA 91730-1929 2008-11-25
1497906580 Stella Xiaorong Wu Acupuncturist 10722 Arrow Rte Ste 314, Rancho Cucamonga, CA 91730-4811 2008-10-07
1316085475 Cheong Ho Yang Acupuncturist 6727 Carnelian St, Rancho Cucamonga, CA 91701-4556 2007-02-01
1114080801 Sunyoung Park Acupuncturist 10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730 2006-12-18
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Competitor

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City RANCHO CUCAMONGA
Zip Code 91730

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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