Healthcare Provider Details

I. General information

NPI: 1346497245
Provider Name (Legal Business Name): PARESH CHANDRA GIRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12047 4TH ST
YUCAIPA CA
92399-2735
US

IV. Provider business mailing address

7633 PASEO MEDIO
HIGHLAND CA
92346-5962
US

V. Phone/Fax

Practice location:
  • Phone: 840-258-0972
  • Fax:
Mailing address:
  • Phone: 626-639-0843
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA105163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: