Provider Demographics
NPI:1528229374
Name:PARSAEIAN, ALI (MD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:PARSAEIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 S MISSION RD STE B
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-4168
Mailing Address - Country:US
Mailing Address - Phone:760-451-3500
Mailing Address - Fax:760-451-3504
Practice Address - Street 1:1309 S MISSION RD STE B
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-4168
Practice Address - Country:US
Practice Address - Phone:760-451-3500
Practice Address - Fax:760-451-3504
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2012-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA109642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine