Provider Demographics
NPI:1275576506
Name:MOHEBI, PARSA (MD)
Entity Type:Individual
Prefix:DR
First Name:PARSA
Middle Name:
Last Name:MOHEBI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1484 S BEVERLY DR
Mailing Address - Street 2:APT 207
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3040
Mailing Address - Country:US
Mailing Address - Phone:310-843-9631
Mailing Address - Fax:
Practice Address - Street 1:16661 VENTURA BLVD
Practice Address - Street 2:313
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-1914
Practice Address - Country:US
Practice Address - Phone:818-788-8363
Practice Address - Fax:818-788-8366
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA96116208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery