MEDICARE: DR. ALI PARSAEIAN 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	207Q00000X	Family Medicine Physician	A109642	CA

General Provider Information

NPI Number	:	1528229374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI PARSAEIAN MD

Provider Business Mailing Address
First Line	:	1309 S MISSION RD STE B
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-4168
Country	:	US
Telephone Number	:	760-451-3500
Fax Number	:	760-451-3504

Provider Business Practice Location Address
First Line	:	2822 E FLORENCE AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-5749
Country	:	US
Telephone Number	:	323-923-1900
Fax Number	:

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	11/08/2024

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