Organization
PARRISH SADEGHI, MD INC
Active
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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