Healthcare Provider Details

I. General information

NPI: 1386826881
Provider Name (Legal Business Name): NAZEE FARSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24301 PASEO DE VALENCIA STE 102
LAGUNA WOODS CA
92637-3107
US

IV. Provider business mailing address

6230 IRVINE BLVD STE 1050 SUITE1050
IRVINE CA
92620-2103
US

V. Phone/Fax

Practice location:
  • Phone: 949-340-4652
  • Fax: 949-502-8887
Mailing address:
  • Phone: 949-340-4652
  • Fax: 949-502-8887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA114530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: