Provider Demographics
NPI:1508740184
Name:ACUPUNCTURE PAIN AND FERTILITY SPECIALIST
Entity type:Organization
Organization Name:ACUPUNCTURE PAIN AND FERTILITY SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FARISHTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOHRABI
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:916-549-9817
Mailing Address - Street 1:11901 RUBILITE WAY
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-8071
Mailing Address - Country:US
Mailing Address - Phone:916-549-9817
Mailing Address - Fax:
Practice Address - Street 1:3301 ALTA ARDEN EXPY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-2121
Practice Address - Country:US
Practice Address - Phone:916-549-9817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty