Individual
MS. ASSAL TAVAKOLI PARSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
16485 LAGUNA CANYON RD STE 110, IRVINE, CA 92618-3839
(310) 571-5041
(562) 661-9672
Mailing address
28322 EL SUR, LAGUNA NIGUEL, CA 92677-4422
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
PA56417
CA
363A00000X
Physician Assistant
Primary
56417
CA
Other
Enumeration date
01/01/2019
Last updated
03/18/2024
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