Physician Compare National (NPI:1902908080)

HEALTHCARE PROVIDER: AMIN FARAH MD

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

Individual Professional Information
NPI	1902908080
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224115886
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080407000288
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FARAH
	Individual professional last name
Provider First Name	AMIN
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CARDIO MEDICAL CONSULTANTS GROUP, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7416034061
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	3
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	3737 MARTIN LUTHER KING JR BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 401
	Group Practice or individual's line 2 address
City	LYNWOOD
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	902623534
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3106040443
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050104
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050393
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	PIH HOSPITAL - DOWNEY
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y