Provider Demographics
NPI:1568260271
Name:ABADI, TALIANA SISTINE
Entity type:Individual
Prefix:
First Name:TALIANA
Middle Name:SISTINE
Last Name:ABADI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5061 TIERRA BAJA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92115-2344
Mailing Address - Country:US
Mailing Address - Phone:818-815-8557
Mailing Address - Fax:
Practice Address - Street 1:1925 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-5361
Practice Address - Country:US
Practice Address - Phone:619-324-9810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health