Healthcare Provider Details

I. General information

NPI: 1578771903
Provider Name (Legal Business Name): NOOSHIN FARAHMAND, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 W ROMNEYA DR STE A
ANAHEIM CA
92801-1815
US

IV. Provider business mailing address

1751 W ROMNEYA DR STE A
ANAHEIM CA
92801-1815
US

V. Phone/Fax

Practice location:
  • Phone: 714-991-8254
  • Fax: 714-991-8241
Mailing address:
  • Phone: 714-991-8254
  • Fax: 714-991-8241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. NOOSHIN FARAHMAND
Title or Position: DOCTOR
Credential: M.D.
Phone: 714-991-8254