Basic Information
| Provider Information | |||||||||
| NPI: | 1154403921 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARRIS | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8510 BALBOA BLVD STE 150 | ||||||||
| Address2: | |||||||||
| City: | NORTHRIDGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 913255810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8186543400 | ||||||||
| FaxNumber: | 8186543415 | ||||||||
| Practice Location | |||||||||
| Address1: | 12660 RIVERSIDE DR STE 310 | ||||||||
| Address2: | |||||||||
| City: | NORTH HOLLYWOOD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 916073431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8187550391 | ||||||||
| FaxNumber: | 8187538165 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/20/2006 | ||||||||
| LastUpdateDate: | 08/15/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A35708 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 35066781 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.