MEDICARE: DR. DIANA VEIT FARNSWORTH MD

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	174400000X	Specialist	G31412	CA

General Provider Information

NPI Number	:	1912067943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIANA VEIT FARNSWORTH MD

Provider Business Mailing Address
First Line	:	5620 WILBUR AVE
Second Line	:	SUITE 305
City	:	TARZANA
State	:	CA
Zip	:	91356-1351
Country	:	US
Telephone Number	:	818-708-7116
Fax Number	:	818-708-8250

Provider Business Practice Location Address
First Line	:	5620 WILBUR AVE
Second Line	:	SUITE 305
City	:	TARZANA
State	:	CA
Zip	:	91356-1351
Country	:	US
Telephone Number	:	818-708-7116
Fax Number	:	818-708-8250

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	12/21/2025

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