Provider Demographics
NPI:1548212681
Name:POURZAND, V PARISA (MD)
Entity type:Individual
Prefix:
First Name:V
Middle Name:PARISA
Last Name:POURZAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:269 S. BEVERLY DRIVE
Mailing Address - Street 2:#120
Mailing Address - City:B.H.
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:818-545-8322
Mailing Address - Fax:818-545-7906
Practice Address - Street 1:1141 N. BRAND BLVD.
Practice Address - Street 2:#305
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202
Practice Address - Country:US
Practice Address - Phone:818-545-8322
Practice Address - Fax:818-545-7906
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2015-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA80373174400000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI19099Medicare UPIN