Organization
PARRISH SADEGHI, MD INC
Active
Other names
Pure Dermatology and Skin Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PARRISH SADEGHI MD (PRESIDENT)
(310) 560-2101
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 480-W, SANTA MONICA, CA 90404-2102
(310) 883-5508
Mailing address
1118 17TH ST APT 2, SANTA MONICA, CA 90403-5542
(310) 560-2101
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A86498
CA
207ND0101X
MOHS-Micrographic Surgery Physician
A86498
CA
207NS0135X
Procedural Dermatology Physician
A86498
CA
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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