Provider Demographics
NPI:1730655739
Name:SANAZ PARSA MD INC
Entity Type:Organization
Organization Name:SANAZ PARSA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:PARSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-275-3422
Mailing Address - Street 1:366 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MURPHYS
Mailing Address - State:CA
Mailing Address - Zip Code:95247
Mailing Address - Country:US
Mailing Address - Phone:650-275-3422
Mailing Address - Fax:650-447-2020
Practice Address - Street 1:366 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MURPHYS
Practice Address - State:CA
Practice Address - Zip Code:95247
Practice Address - Country:US
Practice Address - Phone:650-275-3422
Practice Address - Fax:650-447-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA116887OtherCA LICENSE