MEDICARE: DAVID C PARRIS MD

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	207R00000X	Internal Medicine Physician	A35708	CA
2	207R00000X	Internal Medicine Physician	35066781	OH

General Provider Information

NPI Number	:	1154403921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C PARRIS MD

Provider Business Mailing Address
First Line	:	8510 BALBOA BLVD STE 150
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91325-5810
Country	:	US
Telephone Number	:	818-654-3400
Fax Number	:	818-654-3415

Provider Business Practice Location Address
First Line	:	12660 RIVERSIDE DR STE 310
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91607-3431
Country	:	US
Telephone Number	:	818-755-0391
Fax Number	:	818-753-8165

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/15/2022

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Directions to “ DAVID C PARRIS MD” Practice Location

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