Provider Demographics
NPI:1275766644
Name:FEIZ, PARIS (MFC)
Entity Type:Individual
Prefix:MS
First Name:PARIS
Middle Name:
Last Name:FEIZ
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3151 AIRWAY AVE STE K102
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4613
Mailing Address - Country:US
Mailing Address - Phone:714-444-0395
Mailing Address - Fax:714-444-0571
Practice Address - Street 1:3151 AIRWAY AVE STE K102
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4613
Practice Address - Country:US
Practice Address - Phone:714-444-0395
Practice Address - Fax:714-444-0571
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC39390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1144304486OtherNPI CORPORATE NUMBER