Provider Demographics
NPI:1679045041
Name:MAHSA PARVIZ
Entity Type:Organization
Organization Name:MAHSA PARVIZ
Other - Org Name:PARVIZ PHARMACEUTICALS AND HEALTH SYSTEMS
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHSA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:657-210-0021
Mailing Address - Street 1:2700 MISSION COLLEGE BLVD # C1
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-1218
Mailing Address - Country:US
Mailing Address - Phone:657-210-0021
Mailing Address - Fax:
Practice Address - Street 1:4869 W SUNSET BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-5969
Practice Address - Country:US
Practice Address - Phone:657-210-0021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-26
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1001962OtherTEXAS DEPARTMENT OF STATE HEALTH SERVICES
CA105745OtherCALIFORNIA DEPARTMENT OF PUBLIC HEALTH (FOOD AND DRUG BRANCH)