Healthcare Provider Details

I. General information

NPI: 1760604136
Provider Name (Legal Business Name): FARID ZARIF PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10921 WILSHIRE BLVD 1104
LOS ANGELES CA
90024-3906
US

IV. Provider business mailing address

16683 COLONIAL DR
FONTANA CA
92336-5176
US

V. Phone/Fax

Practice location:
  • Phone: 310-208-7755
  • Fax: 310-208-7745
Mailing address:
  • Phone: 909-743-1582
  • Fax: 909-854-8316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNOT REQUIRED
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: