Provider Demographics
NPI:1275764292
Name:UCSD SURGERY
Entity Type:Organization
Organization Name:UCSD SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:POURIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-290-9096
Mailing Address - Street 1:1240 INDIA ST UNIT 914
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-8551
Mailing Address - Country:US
Mailing Address - Phone:619-290-9096
Mailing Address - Fax:
Practice Address - Street 1:1240 INDIA ST UNIT 914
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-8551
Practice Address - Country:US
Practice Address - Phone:619-290-9096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital