Healthcare Provider Details

I. General information

NPI: 1033326442
Provider Name (Legal Business Name): NAYNA PARYANI FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5977 E SPRING ST
LONG BEACH CA
90808-3752
US

IV. Provider business mailing address

5977 E SPRING ST
LONG BEACH CA
90808-3752
US

V. Phone/Fax

Practice location:
  • Phone: 562-421-3727
  • Fax: 562-420-8948
Mailing address:
  • Phone: 562-421-3727
  • Fax: 562-420-8948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number523620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: