Provider Demographics
NPI:1891671244
Name:DARBANI, SEPI
Entity type:Individual
Prefix:
First Name:SEPI
Middle Name:
Last Name:DARBANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22622 LAMBERT ST STE 301A
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-1669
Mailing Address - Country:US
Mailing Address - Phone:949-328-9675
Mailing Address - Fax:
Practice Address - Street 1:22622 LAMBERT ST STE 301A
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630-1669
Practice Address - Country:US
Practice Address - Phone:949-328-9675
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2268062471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty