Provider Demographics
NPI:1437247335
Name:AFSHAR, PARVIN (MD)
Entity Type:Individual
Prefix:MS
First Name:PARVIN
Middle Name:
Last Name:AFSHAR
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 1:1400 QUAIL ST STE 115
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2792
Mailing Address - Country:US
Mailing Address - Phone:949-651-1256
Mailing Address - Fax:949-651-6205
Practice Address - Street 1:14150 CULVER DR
Practice Address - Street 2:SUITE 307
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-0315
Practice Address - Country:US
Practice Address - Phone:949-651-1256
Practice Address - Fax:949-651-6205
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA449802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF68535Medicare UPIN
CAA44980BMedicare ID - Type Unspecified