MEDICARE: PARI MOKHTARI

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	133V00000X	Registered Dietitian	86045334	UT

General Provider Information

NPI Number	:	1205520269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARI MOKHTARI

Provider Business Mailing Address
First Line	:	93 OXFORD
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2653
Country	:	US
Telephone Number	:	385-333-1139
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 OXFORD
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2653
Country	:	US
Telephone Number	:	385-333-1139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	03/17/2026

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Directions to “ PARI MOKHTARI ” Practice Location

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