Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keiko Komori Bahrami

Individual provider Physical Therapy Assistant · NPI 1073219648

Keiko Komori Bahrami is a Physical Therapy Assistant in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

3067 W Orange Ave
Anaheim, CA 92804-3156
Phone: (714) 827-2440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 50336 (CA)

Record details

NPI number1073219648
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 3, 2023

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