MEDICARE: JANET R FARHIE 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	G86827	CA

General Provider Information

NPI Number	:	1871680223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET R FARHIE M.D.

Provider Business Mailing Address
First Line	:	8512 TUSCANY AVE APT 418
Second Line	:
City	:	PLAYA DEL REY
State	:	CA
Zip	:	90293-8174
Country	:	US
Telephone Number	:	310-306-1259
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 E 120TH ST
Second Line	:	AUGUSTUS HAWKINS
City	:	LOS ANGELES
State	:	CA
Zip	:	90059-3052
Country	:	US
Telephone Number	:	310-668-3027
Fax Number	:

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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