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NPI 1629212378

NPI 1629212378 : PARHAM PARTO M.D., M.P.H. : NEWPORT BEACH, CA

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General NPI Number Information
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    NPI Number           |    1629212378
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    Entity Type          |    Individual 
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    Provider Name        |    PARHAM PARTO M.D., M.P.H.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/24/2009
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    Last Update Date     |    01/18/2019
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Provider Practice Location Address
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    Address Line         |    520 SUPERIOR AVE STE 305 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92663-3667
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    Country              |    US
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    Telephone            |    949-650-0240
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4255 CAMPUS DR UNIT 4658 
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92616-2232
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    Country              |    US
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    Telephone            |    310-448-2693
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    BP1-0034940
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    MD.205974
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    License Number State |    LA
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