Provider Demographics
NPI:1437148632
Name:NAZARI, PARVIN HR (MD)
Entity Type:Individual
Prefix:
First Name:PARVIN
Middle Name:HR
Last Name:NAZARI
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 1:1236 N. MAGONLIA AVE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:714-995-1000
Mailing Address - Fax:714-828-7926
Practice Address - Street 1:1236 N. MAGONLIA AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-995-1000
Practice Address - Fax:714-828-7926
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA92806207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A928060Medicaid
CA00A928060Medicaid