Provider Demographics
NPI:1659394864
Name:HOOSHI, PARIZAD (MD)
Entity Type:Individual
Prefix:DR
First Name:PARIZAD
Middle Name:
Last Name:HOOSHI
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 1:19871 NORDHOFF ST
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3331
Mailing Address - Country:US
Mailing Address - Phone:818-349-5050
Mailing Address - Fax:818-349-5052
Practice Address - Street 1:19871 NORDHOFF ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3331
Practice Address - Country:US
Practice Address - Phone:818-349-5050
Practice Address - Fax:818-349-5052
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA846162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA84616OtherMEDICAL LICENSE
CAA84616OtherMEDICAL LICENSE