Healthcare Provider Details

I. General information

NPI: 1356630370
Provider Name (Legal Business Name): PARISSA VASSEF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2011
Last Update Date: 11/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E 28TH ST STE 319
LONG BEACH CA
90806-2783
US

IV. Provider business mailing address

400 W PUEBLO ST
SANTA BARBARA CA
93105
US

V. Phone/Fax

Practice location:
  • Phone: 562-426-3656
  • Fax: 562-424-9990
Mailing address:
  • Phone: 805-682-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License NumberA137186
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA137186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: