MEDICARE: TOURADJ FARHADI 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	207R00000X	Internal Medicine Physician	A51505	CA
2	207N00000X	Dermatology Physician	A51505	CA

General Provider Information

NPI Number	:	1356567937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOURADJ FARHADI M.D.

Provider Business Mailing Address
First Line	:	2630 PACIFIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2611
Country	:	US
Telephone Number	:	562-426-3399
Fax Number	:	562-426-3797

Provider Business Practice Location Address
First Line	:	2630 PACIFIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2611
Country	:	US
Telephone Number	:	562-426-3399
Fax Number	:	562-426-3797

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	09/11/2025

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