Healthcare Provider Details
I. General information
NPI: 1861059263
Provider Name (Legal Business Name): FARID ARMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/22/2019
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 W 7TH ST STE S270-D
LOS ANGELES CA
90017-3768
US
IV. Provider business mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US
V. Phone/Fax
- Phone: 213-988-8380
- Fax:
- Phone: 310-301-8707
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | A192998 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | A192998 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: