Healthcare Provider Details

I. General information

NPI: 1386826881
Provider Name (Legal Business Name): NAZEE FARSI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2007
Last Update Date: 10/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6180 BROCKTON AVE STE 204
RIVERSIDE CA
92506-2233
US

IV. Provider business mailing address

6180 BROCKTON AVE STE 204
RIVERSIDE CA
92506-2233
US

V. Phone/Fax

Practice location:
  • Phone: 951-781-7700
  • Fax: 951-781-0313
Mailing address:
  • Phone: 951-781-7700
  • Fax: 951-781-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA114530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: