Provider Demographics
NPI:1629571476
Name:PARVIZI, NAOMI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:PARVIZI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16673 ROSCOE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-6109
Mailing Address - Country:US
Mailing Address - Phone:818-781-2400
Mailing Address - Fax:
Practice Address - Street 1:16673 ROSCOE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-6109
Practice Address - Country:US
Practice Address - Phone:818-781-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-16
Last Update Date:2018-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA680671835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy