Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A139952 | CA |
NPI | 1023438637 |
---|---|
Provider Name | Justin T Parizo |
First Address | San Diego, CA 92123-4203 |
Second Address | San Diego, CA 92123-4203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 10/08/2021 |