MEDICARE: DR. MIRIAM F. PARSA M.D.

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	208000000X	Pediatrics Physician	A97393	CA
2	2080P0216X	Pediatric Rheumatology Physician	A97393	CA

General Provider Information

NPI Number	:	1275726176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIRIAM F. PARSA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 50706
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93150-0706
Country	:	US
Telephone Number	:	805-963-3757
Fax Number	:	805-564-3332

Provider Business Practice Location Address
First Line	:	5333 HOLLISTER AVE
Second Line	:	SUITE 250
City	:	GOLETA
State	:	CA
Zip	:	93111-2341
Country	:	US
Telephone Number	:	805-879-4243
Fax Number	:	805-879-4267

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

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	07/14/2022

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