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General NPI Number Information
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NPI Number | 1801418702
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Entity Type | Organization
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Legal Business Name | FARZAD ALEMI MD INC
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 3628 E IMPERIAL HWY STE 103
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City | LYNWOOD
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State | CA
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Zip | 90262-2600
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Country | US
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Telephone | 310-900-5010
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Fax | 310-900-5019
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Provider Business Mailing Address
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Address Line | PO BOX 363
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City | REDONDO BEACH
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State | CA
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Zip | 90277-0363
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Country | US
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Telephone | 310-900-5010
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Fax | 310-900-5019
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FARZAD ALEMI
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Credential | MD
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Telephone | 949-338-0970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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