Healthcare Provider Details

I. General information

NPI: 1174702013
Provider Name (Legal Business Name): PARS MEDICAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2007
Last Update Date: 10/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E ARTESIA ST SUITE 355
POMONA CA
91767-2900
US

IV. Provider business mailing address

PO BOX 2016
YORBA LINDA CA
92885-1216
US

V. Phone/Fax

Practice location:
  • Phone: 909-207-2222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberC42140
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberC42140
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberC42140
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC42140
License Number StateCA

VIII. Authorized Official

Name: DR. MORTEZA SAJADIAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-218-1829