Healthcare Provider Details

I. General information

NPI: 1437699170
Provider Name (Legal Business Name): PARISA RAHMANIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 01/28/2023
Certification Date: 01/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40420 MURRIETA HOT SPRINGS RD
MURRIETA CA
92563-6400
US

IV. Provider business mailing address

460 W FELICITA AVE
ESCONDIDO CA
92025-6518
US

V. Phone/Fax

Practice location:
  • Phone: 951-698-7459
  • Fax: 951-698-8097
Mailing address:
  • Phone: 760-735-6025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72324
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: