Physician Compare National (NPI:1386796209)

HEALTHCARE PROVIDER: FARNOOSH TINOOSH M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1386796209
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0345318028
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20081202000057
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	TINOOSH
	Individual professional last name
Provider First Name	FARNOOSH
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1503 S COAST DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 120
	Group Practice or individual's line 2 address
City	COSTA MESA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	926261526
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y