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NPI Code Detail

MEDICARE: FARZAD MASSOUDI M.D.

MEDICARE: FARZAD MASSOUDI 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
1207T00000XNeurological Surgery PhysicianG76503CA

General Provider Information

NPI Number : 1437144599
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARZAD MASSOUDI M.D.
Provider Business Mailing Address
First Line : 23961 CALLE DE LA MAGDALENA STE 405
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3683
Country : US
Telephone Number : 949-588-5800
Fax Number : 949-380-3344
Provider Business Practice Location Address
First Line : 23961 CALLE DE LA MAGDALENA STE 405
Second Line :
City : LAGUNA HILLS
State : CA
Zip : 92653-3683
Country : US
Telephone Number : 949-588-5800
Fax Number : 949-380-3344
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2005
Last Update Date : 10/31/2023

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