Healthcare Provider Details

I. General information

NPI: 1376342543
Provider Name (Legal Business Name): ANUSHRI PARIKH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/11/2025
Last Update Date: 03/11/2025
Certification Date: 03/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 S MAIN ST, SUITET 485
ORANGE CA
92828
US

IV. Provider business mailing address

363 S MAIN ST, SUITET 485
ORANGE CA
92828
US

V. Phone/Fax

Practice location:
  • Phone: 714-835-4800
  • Fax:
Mailing address:
  • Phone: 714-835-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: