Ghovanlou, Parissa

Ghovanlou, Parissa is an individual health care provider with primary practice located at 420 W Rowland St , Covina CA 91723-2943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ghovanlou, Parissa can be contacted via phone (626) 331-6411.

Contact Information

Primary practice address
420 W Rowland St Covina CA 91723-2943
Phone: (626) 331-6411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11921 Nevada
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A94378 California

Profile Details

NPI number 1801979018
LBN Legal business name Ghovanlou, Parissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801979018 NPPES
Nevada MEDICAID 100510840

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