Healthcare Provider Details

I. General information

NPI: 1427152727
Provider Name (Legal Business Name): HOUSHANG FARHADIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25425 ORCHARD VILLAGE RD
SANTA CLARITA CA
91355-2955
US

IV. Provider business mailing address

3346 RED ROSE DR
ENCINO CA
91436-4212
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License NumberA3135
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: