MEDICARE: DR. AMIT ANIL PARIKH M.D.

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	2084P0800X	Psychiatry Physician	57.028758	OH
2	2084P0800X	Psychiatry Physician	A171972	CA

General Provider Information

NPI Number	:	1245684554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIT ANIL PARIKH M.D.

Provider Business Mailing Address
First Line	:	2833 STONER AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2833 STONER AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90064
Country	:	US
Telephone Number	:	330-289-4731
Fax Number	:

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

Provider Enumeration Date	:	04/22/2016
Last Update Date	:	04/04/2022

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