Provider Demographics
NPI:1619419744
Name:PARVIN, FARSHID (HIS)
Entity Type:Individual
Prefix:MR
First Name:FARSHID
Middle Name:
Last Name:PARVIN
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16483 BERNARDO CENTER DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2523
Mailing Address - Country:US
Mailing Address - Phone:858-485-8558
Mailing Address - Fax:
Practice Address - Street 1:1036 N TUSTIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5958
Practice Address - Country:US
Practice Address - Phone:714-289-8999
Practice Address - Fax:714-289-8939
Is Sole Proprietor?:No
Enumeration Date:2016-11-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA7362237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist