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NPI Code Detail

MEDICARE: FARRAH JALLALVANDI

MEDICARE:   FARRAH  JALLALVANDI
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95031771CA

General Provider Information

NPI Number : 1770317448
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARRAH JALLALVANDI
Provider Business Mailing Address
First Line : 2021 FILLMORE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-2708
Country : US
Telephone Number : 628-800-4081
Fax Number : 415-909-3374
Provider Business Practice Location Address
First Line : 2702 HYDE ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94109-1223
Country : US
Telephone Number : 669-262-0602
Fax Number : 415-909-3374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2024
Last Update Date : 08/28/2025

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Directions to “ FARRAH JALLALVANDI ” Practice Location

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