Provider Demographics
NPI:1538631197
Name:RABANI, AHNA MARIE (SCM, CGC)
Entity type:Individual
Prefix:
First Name:AHNA
Middle Name:MARIE
Last Name:RABANI
Suffix:
Gender:F
Credentials:SCM, CGC
Other - Prefix:
Other - First Name:AHNA
Other - Middle Name:MARIE
Other - Last Name:NEUSTADT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SCM
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 MEDICAL PLAZA SUITE B200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-794-1195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS