MEDICARE: PARISA RAHMANIAN

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	183500000X	Pharmacist	72324	CA

General Provider Information

NPI Number	:	1437699170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARISA RAHMANIAN

Provider Business Mailing Address
First Line	:	460 W FELICITA AVE
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-6518
Country	:	US
Telephone Number	:	760-735-6025
Fax Number	:

Provider Business Practice Location Address
First Line	:	40420 MURRIETA HOT SPRINGS RD
Second Line	:
City	:	MURRIETA
State	:	CA
Zip	:	92563-6400
Country	:	US
Telephone Number	:	951-698-7459
Fax Number	:	951-698-8097

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

Provider Enumeration Date	:	02/28/2017
Last Update Date	:	01/28/2023

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