Healthcare Provider Details

I. General information

NPI: 1265352249
Provider Name (Legal Business Name): PARIS PARASTOU SHOGHI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SILVER SPUR RD
ROLLING HILLS ESTATES CA
90274-3805
US

IV. Provider business mailing address

5540 SCOTWOOD DR
RANCHO PALOS VERDES CA
90275-4913
US

V. Phone/Fax

Practice location:
  • Phone: 310-377-6728
  • Fax:
Mailing address:
  • Phone: 310-971-6941
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number73972
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: