Provider Demographics
NPI:1902912074
Name:PARIEWSKI, NORMA LILIANA (MD)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:LILIANA
Last Name:PARIEWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9911 WEST PICO BLVD
Mailing Address - Street 2:STE 1260
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035
Mailing Address - Country:US
Mailing Address - Phone:310-557-1689
Mailing Address - Fax:310-557-9657
Practice Address - Street 1:9911 WEST PICO BLVD
Practice Address - Street 2:STE 1260
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:310-557-1689
Practice Address - Fax:310-557-9657
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA298092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA29D09Medicare ID - Type Unspecified
A84009Medicare UPIN