Provider Demographics
NPI:1942649553
Name:PARSI, MASOOD MICHAEL (RPH)
Entity Type:Individual
Prefix:
First Name:MASOOD
Middle Name:MICHAEL
Last Name:PARSI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24731 ALICIA PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4653
Mailing Address - Country:US
Mailing Address - Phone:949-462-9766
Mailing Address - Fax:
Practice Address - Street 1:24731 ALICIA PKWY STE B
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4653
Practice Address - Country:US
Practice Address - Phone:949-462-9766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58085183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist