MEDICARE: PETER JAHANGIR PARKER M D INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	A44924	CA

General Provider Information

NPI Number	:	1184721284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER JAHANGIR PARKER M D INC.

Provider Business Mailing Address
First Line	:	414 N CAMDEN DR STE 975
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4541
Country	:	US
Telephone Number	:	310-276-4715
Fax Number	:	310-276-4634

Provider Business Practice Location Address
First Line	:	1100 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91202-2606
Country	:	US
Telephone Number	:	818-546-2626
Fax Number	:	818-546-1056

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER J. PARKER
Credential	:	M.D.
Telephone Number	:	310-276-4715

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	10/23/2025

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