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

Kourosh Mostafavi Naeeni

Individual provider Physical Therapist · NPI 1437804788

Kourosh Mostafavi Naeeni is a Physical Therapist in Private Practice in Encino, California. Qualified in 2021, 5 years ago. Practices with California Luna Care Physical Therapy PC, a 773-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

17207 Ventura Blvd Ste 4
Encino, CA 91316-4035
Phone: (818) 386-8070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 301346 (CA)

Record details

NPI number1437804788
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice California Luna Care Physical Therapy Pc — 773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Encino