Provider Demographics
NPI:1386222420
Name:HARIRIPARSA, NEDA
Entity Type:Individual
Prefix:DR
First Name:NEDA
Middle Name:
Last Name:HARIRIPARSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28771 EL ADOLFO
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-7661
Mailing Address - Country:US
Mailing Address - Phone:949-903-2979
Mailing Address - Fax:
Practice Address - Street 1:28771 EL ADOLFO
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-7661
Practice Address - Country:US
Practice Address - Phone:949-903-2979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84193183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist