MEDICARE: DR. PARISA MALEKZADEH 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	2086X0206X	Surgical Oncology Physician	A198583	CA
2	208600000X	Surgery Physician	A198583	CA

General Provider Information

NPI Number	:	1992055149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARISA MALEKZADEH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 512185
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90051-0185
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 W 6TH ST
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92882-3349
Country	:	US
Telephone Number	:	951-898-2828
Fax Number	:	951-898-2811

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

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	11/12/2024

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