Provider Demographics
NPI:1417104282
Name:PARSAEI, NAZANIN (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZANIN
Middle Name:
Last Name:PARSAEI
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 1:4940 VAN NUYS BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1740
Mailing Address - Country:US
Mailing Address - Phone:818-990-9050
Mailing Address - Fax:818-990-9070
Practice Address - Street 1:4940 VAN NUYS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1740
Practice Address - Country:US
Practice Address - Phone:818-990-9050
Practice Address - Fax:818-990-9070
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME135016207Q00000X
CAA112838207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty