Healthcare Provider Details

I. General information

NPI: 1770995664
Provider Name (Legal Business Name): FARYAL ARIF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6340 IRVINE BLVD
IRVINE CA
92620-2102
US

IV. Provider business mailing address

1770 N ORANGE GROVE AVE SUITE 101
POMONA CA
91767-3027
US

V. Phone/Fax

Practice location:
  • Phone: 949-559-6500
  • Fax: 949-559-6510
Mailing address:
  • Phone: 909-469-9494
  • Fax: 909-620-7285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA145138
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: