Provider Demographics
NPI:1285520940
Name:DAYANI, PARVANEH (LAC)
Entity type:Individual
Prefix:
First Name:PARVANEH
Middle Name:
Last Name:DAYANI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 N SHELTON ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1828
Mailing Address - Country:US
Mailing Address - Phone:678-571-5823
Mailing Address - Fax:
Practice Address - Street 1:1492 W COLORADO BLVD STE 120
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-1466
Practice Address - Country:US
Practice Address - Phone:323-327-3777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20274171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist