MEDICARE: DR. MAHMOOD PAZIRANDEH MD, FACP, FACR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	C52328	CA

General Provider Information

NPI Number	:	1134109390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHMOOD PAZIRANDEH MD, FACP, FACR

Provider Business Mailing Address
First Line	:	3633 CAMINO DEL RIO S
Second Line	:	SUITE 300
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4011
Country	:	US
Telephone Number	:	619-287-9730
Fax Number	:	619-287-4516

Provider Business Practice Location Address
First Line	:	3633 CAMINO DEL RIO S
Second Line	:	SUITE 300
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-4011
Country	:	US
Telephone Number	:	619-287-9730
Fax Number	:	619-287-4516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2006
Last Update Date	:	10/26/2012

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