Healthcare Provider Details

I. General information

NPI: 1609482017
Provider Name (Legal Business Name): ZACHARY PAUL FARR MT-BC, NMT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W MARTIN LUTHER KING JR BLVD
LOS ANGELES CA
90037-4401
US

IV. Provider business mailing address

1101 W MARTIN LUTHER KING JR BLVD
LOS ANGELES CA
90037-4401
US

V. Phone/Fax

Practice location:
  • Phone: 323-334-9000
  • Fax: 323-334-4437
Mailing address:
  • Phone: 323-334-9000
  • Fax: 323-334-4437

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number15923
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: