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General NPI Number Information
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NPI Number | 1093972317
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Entity Type | Organization
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Legal Business Name | PARVIZ P IMANI MD, INC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 4137 VERDUGO RD
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City | LOS ANGELES
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State | CA
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Zip | 90065-3820
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Country | US
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Telephone | 323-256-5800
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Fax | 323-256-6800
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Provider Business Mailing Address
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Address Line | 4137 VERDUGO RD
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City | LOS ANGELES
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State | CA
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Zip | 90065-3820
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Country | US
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Telephone | 323-256-5800
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Fax | 232-256-6800
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Authorized Official
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Title or Position | PRESIDENT
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Name | PARVIZ P IANI
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Credential | MD
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Telephone | 323-256-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A39169
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A39169
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License Number State | CA
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