Provider Demographics
NPI:1871334649
Name:PAIRTU HEALTH MEDICAL GROUP OF CALIFORNIA P.C.
Entity type:Organization
Organization Name:PAIRTU HEALTH MEDICAL GROUP OF CALIFORNIA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZZAGHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-415-5811
Mailing Address - Street 1:505 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94111-6529
Mailing Address - Country:US
Mailing Address - Phone:669-231-6870
Mailing Address - Fax:
Practice Address - Street 1:505 MONTGOMERY ST FL 1011
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-6529
Practice Address - Country:US
Practice Address - Phone:669-231-6870
Practice Address - Fax:833-427-1156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty