Provider Demographics
NPI:1356927537
Name:PARSA, NAZLI
Entity type:Individual
Prefix:
First Name:NAZLI
Middle Name:
Last Name:PARSA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12925 EL CAMINO REAL STE J2
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-1892
Mailing Address - Country:US
Mailing Address - Phone:858-780-5293
Mailing Address - Fax:
Practice Address - Street 1:12925 EL CAMINO REAL STE J2
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-1892
Practice Address - Country:US
Practice Address - Phone:858-780-5293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist