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NPI Code Detail

MEDICARE: FARAH FERRER MD

MEDICARE:   FARAH  FERRER  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
12084P0804XChild & Adolescent Psychiatry PhysicianA55258CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942393996
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARAH FERRER MD
Provider Business Mailing Address
First Line : 5406 E BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2208
Country : US
Telephone Number : 323-213-3605
Fax Number :
Provider Business Practice Location Address
First Line : 5406 E BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-2208
Country : US
Telephone Number : 323-550-1191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 08/23/2022

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