Healthcare Provider Details
I. General information
NPI: 1295532349
Provider Name (Legal Business Name): NARIMAN NASSIRI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23861 MCBEAN PKWY STE E21
VALENCIA CA
91355-4457
US
IV. Provider business mailing address
23861 MCBEAN PKWY STE E21
VALENCIA CA
91355-4457
US
V. Phone/Fax
- Phone: 949-689-6521
- Fax:
- Phone: 949-689-6521
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0107X |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0108X |
| Taxonomy | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207WX0120X |
| Taxonomy | Cornea and External Diseases Specialist Physician |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207WX0009X |
| Taxonomy | Glaucoma Specialist (Ophthalmology) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NARIMAN
NASSIRI
Title or Position: OWNER
Credential: MD
Phone: 773-344-6602