Provider Demographics
NPI:1780135038
Name:PARHAM AMINI MD INC
Entity type:Organization
Organization Name:PARHAM AMINI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRERIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PARHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AMINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-724-5979
Mailing Address - Street 1:16633 VENTURA BLVD STE 555
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-1823
Mailing Address - Country:US
Mailing Address - Phone:818-724-5979
Mailing Address - Fax:818-975-5424
Practice Address - Street 1:8331 RESEDA BLVD
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4620
Practice Address - Country:US
Practice Address - Phone:818-724-5979
Practice Address - Fax:818-975-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131804207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty