Provider Demographics
NPI:1659554020
Name:KAMBIZ PARSA, M.D. INC
Entity Type:Organization
Organization Name:KAMBIZ PARSA, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMBIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-777-8800
Mailing Address - Street 1:465 N ROXBURY DR
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4206
Mailing Address - Country:US
Mailing Address - Phone:310-777-8800
Mailing Address - Fax:310-248-6258
Practice Address - Street 1:465 N ROXBURY DR
Practice Address - Street 2:SUITE 1001
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4206
Practice Address - Country:US
Practice Address - Phone:310-777-8800
Practice Address - Fax:310-248-6258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-09
Last Update Date:2007-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA78867207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty