MEDICARE: DR. SEYED FARHAD N CHIMEH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A100198	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306820220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEYED FARHAD N CHIMEH M.D.

Provider Business Mailing Address
First Line	:	435 N BEDFORD DR
Second Line	:	SUITE 312
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-4321
Country	:	US
Telephone Number	:	310-858-1800
Fax Number	:	310-276-5508

Provider Business Practice Location Address
First Line	:	3392 MOTOR AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-3712
Country	:	US
Telephone Number	:	310-858-1800
Fax Number	:	310-424-3404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	01/27/2009

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