Healthcare Provider Details

I. General information

NPI: 1831274497
Provider Name (Legal Business Name): PARVIN D. SYAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 SYCAMORE DR SUITE # 310
SIMI VALLEY CA
93065-1207
US

IV. Provider business mailing address

10025 TOPANGA CANYON BLVD #113
CHATSWORTH CA
91311-3684
US

V. Phone/Fax

Practice location:
  • Phone: 805-527-7000
  • Fax: 818-475-1987
Mailing address:
  • Phone: 818-775-5977
  • Fax: 818-475-1987

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA37754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: