| Parvin Shafa M D Inc | |
|
113 Waterworks Way Ste 100 Irvine CA 92618-3171 | |
| (949) 551-1113 | |
| (949) 551-1103 |
| Full Name | Parvin Shafa M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 113 Waterworks Way Ste 100, Irvine, California |
| Authorized Official Name and Position | Parvin Shafa (OWNER PHYSICIAN) |
| Authorized Official Contact | 9495511113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parvin Shafa M D Inc 113 Waterworks Way Ste 100 Irvine CA 92618-3171 Ph: (949) 551-1113 | Parvin Shafa M D Inc 113 Waterworks Way Ste 100 Irvine CA 92618-3171 Ph: (949) 551-1113 |
| NPI Number | 1528181005 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 04/27/2011 |
| Medicare PECOS PAC ID | 5698959336 |
|---|---|
| Medicare Enrollment ID | O20110405000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528181005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A52745 (California) | Primary |
| Provider Name | Parvin Shafa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447383559 PECOS PAC ID: 6507040243 Enrollment ID: I20110405000474 |
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