Provider Demographics
NPI:1366700205
Name:SIAGHANI, PARWIZ JOHN (DO)
Entity type:Individual
Prefix:DR
First Name:PARWIZ
Middle Name:JOHN
Last Name:SIAGHANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:MR
Other - First Name:PARWIZ
Other - Middle Name:
Other - Last Name:AKBAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:FILE 1319: 1801 W OLYMPIC BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91199-1319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2801 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:562-933-0717
Practice Address - Fax:562-933-0791
Is Sole Proprietor?:No
Enumeration Date:2012-04-29
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A13358207ZP0101X, 207ZP0102X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology