Basic Information
| Provider Information | |||||||||
| NPI: | 1275726176 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PARSA | ||||||||
| FirstName: | MIRIAM | ||||||||
| MiddleName: | F. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 50706 | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931500706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8059633757 | ||||||||
| FaxNumber: | 8055643332 | ||||||||
| Practice Location | |||||||||
| Address1: | 5333 HOLLISTER AVE | ||||||||
| Address2: | SUITE 250 | ||||||||
| City: | GOLETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931112341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8058794243 | ||||||||
| FaxNumber: | 8058794267 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2007 | ||||||||
| LastUpdateDate: | 07/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | A97393 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0216X | A97393 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Rheumatology |
No ID Information.