Provider Demographics
NPI:1306731385
Name:PARVIZ, YALDA
Entity type:Individual
Prefix:
First Name:YALDA
Middle Name:
Last Name:PARVIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 E NOHL RANCH RD APT 99
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4892
Mailing Address - Country:US
Mailing Address - Phone:949-439-6221
Mailing Address - Fax:
Practice Address - Street 1:6401 E NOHL RANCH RD APT 99
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4892
Practice Address - Country:US
Practice Address - Phone:949-439-6221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist