Provider Demographics
NPI:1235188368
Name:PAREKH, MUZZAMIL HAROON (MD)
Entity Type:Individual
Prefix:
First Name:MUZZAMIL
Middle Name:HAROON
Last Name:PAREKH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 51238
Mailing Address - Street 2:ATTENTION: MAGGIE NOLES
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-5538
Mailing Address - Country:US
Mailing Address - Phone:562-741-4461
Mailing Address - Fax:562-741-4413
Practice Address - Street 1:433 N 4TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-4311
Practice Address - Country:US
Practice Address - Phone:323-201-4130
Practice Address - Fax:323-201-4134
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86206207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI26178Medicare UPIN
CAWA86206BMedicare PIN
CAWA86206CMedicare PIN