# MOFTAKHAR PARHAM, MD

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962718825
- **Authorized official:** MOFTAKHAR PARHAM MD (MEDICAL DOCTOR)
- **Authorized official phone:** (213) 427-9869

## Contact information

- **Practice address:** 3240 WILSHIRE BLVD, SUITE 270, LOS ANGELES, CA 90010-1502
- **Practice address phone:** (213) 427-9869
- **Practice address fax:** (213) 365-0480
- **Mailing address:** 3240 WILSHIRE BLVD, SUITE 270, LOS ANGELES, CA 90010-1502
- **Mailing address phone:** (213) 437-9869
- **Mailing address fax:** (213) 365-4080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A112460 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2010
- **Last updated:** 08/29/2010