1619900628 NPI number — MRS. SETAREH SALEHI PHYSICAL THERAPIEST

Table of content: MRS. SETAREH SALEHI PHYSICAL THERAPIEST (NPI 1619900628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619900628 NPI number — MRS. SETAREH SALEHI PHYSICAL THERAPIEST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALEHI
Provider First Name:
SETAREH
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIEST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARKHORDAR
Provider Other First Name:
SETAREH
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHYSICAL THERAPIEST
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1619900628
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/15/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16011 SANTA BARBARA LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92649-2151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-822-0767
Provider Business Mailing Address Fax Number:
949-502-8887

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16011 SANTA BARBARA LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTINGTON BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92649-2151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-822-0767
Provider Business Practice Location Address Fax Number:
949-502-8887
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT18387 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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