=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659895829
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALEX PARSI DDS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/31/2017
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1127 WILSHIRE BLVD STE 1111
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90017-4002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-291-7358
-----------------------------------------------------
Fax | 213-802-1749
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1127 WILSHIRE BLVD STE 1111
-----------------------------------------------------
City | LOS ANGELES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90017
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 213-291-7358
-----------------------------------------------------
Fax | 213-802-1749
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNERE
-----------------------------------------------------
Name | ALEX PARSI
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 213-291-7358
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | 47407
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------