MEDICARE: ANDYSHEH KAMGAR-PARSI

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	208100000X	Physical Medicine & Rehabilitation Physician	20A17680	CA

General Provider Information

NPI Number	:	1548767726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDYSHEH KAMGAR-PARSI

Provider Business Mailing Address
First Line	:	PO BOX 7410882
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-0882
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	1025 W 2ND AVE
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92025-3839
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

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

Provider Enumeration Date	:	04/12/2018
Last Update Date	:	10/06/2025

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