1932124328 NPI number — PARVIZ SALEHI M.D.

Table of content: PARVIZ SALEHI M.D. (NPI 1932124328)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932124328 NPI number — PARVIZ SALEHI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALEHI
Provider First Name:
PARVIZ
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932124328
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1026
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91365-1026
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-343-5109
Provider Business Mailing Address Fax Number:
818-343-8770

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6670 RESEDA BLVD
Provider Second Line Business Practice Location Address:
SUITE # 100
Provider Business Practice Location Address City Name:
RESEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91335-5327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-343-5109
Provider Business Practice Location Address Fax Number:
818-343-8770
Provider Enumeration Date:
07/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208600000X , with the licence number:  A39866 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A398860 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com