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General NPI Number Information
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NPI Number | 1205087079
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Entity Type | Individual
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Provider Name | NILOOFAR LEYLA FARMANI M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 2600 NE NEFF RD
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City | BEND
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State | OR
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Zip | 97701-6337
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Country | US
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Telephone | 541-706-7735
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Fax |
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Provider Business Mailing Address
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Address Line | 5451 LA PALMA AVE SUITE 25
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City | LA PALMA
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State | CA
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Zip | 90623-1728
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Country | US
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Telephone | 714-670-1340
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Fax | 714-443-3780
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | A105243
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A105243
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License Number State | CA
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