Healthcare Provider Details

I. General information

NPI: 1538845730
Provider Name (Legal Business Name): PARSA MICHAEL JOUR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21914 VENTURA BLVD
WOODLAND HILLS CA
91364-1724
US

IV. Provider business mailing address

944 BERKELEY ST
SANTA MONICA CA
90403-2308
US

V. Phone/Fax

Practice location:
  • Phone: 818-514-1444
  • Fax:
Mailing address:
  • Phone: 310-749-7226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: