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General NPI Number Information
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NPI Number | 1528256823
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Entity Type | Organization
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Legal Business Name | HOUSHANG FARHADIAN, MD, INC
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 25425 ORCHARD VILLAGE RD
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City | SANTA CLARITA
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State | CA
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Zip | 91355-2955
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Country | US
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Telephone | 661-259-6996
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Fax |
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Provider Business Mailing Address
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Address Line | 3346 RED ROSE DR
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City | ENCINO
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State | CA
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Zip | 91436-4212
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOUSHANG FARHADIAN
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Credential | M.D.
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Telephone | 661-259-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | A31355
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License Number State | CA
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