MEDICARE: DR. FARAH RAANA ZAIDI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A62463	CA

General Provider Information

NPI Number	:	1326132978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARAH RAANA ZAIDI M.D.

Provider Business Mailing Address
First Line	:	34 PARREMO
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92692-5120
Country	:	US
Telephone Number	:	949-233-7595
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 S STATE ST
Second Line	:
City	:	SAN JACINTO
State	:	CA
Zip	:	92583-4933
Country	:	US
Telephone Number	:	951-791-3596
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/04/2023

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