Provider Demographics
NPI:1386826881
Name:FARSI, NAZEE (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZEE
Middle Name:
Last Name:FARSI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6180 BROCKTON AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-2233
Mailing Address - Country:US
Mailing Address - Phone:951-781-7700
Mailing Address - Fax:951-781-0313
Practice Address - Street 1:6180 BROCKTON AVE STE 204
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2233
Practice Address - Country:US
Practice Address - Phone:951-781-7700
Practice Address - Fax:951-781-0313
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA114530207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty