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NPI Code Detail

MEDICARE: ASH FARNAN LCSW

MEDICARE: ASH FARNAN LCSW
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
11041C0700XClinical Social Worker121872CA

General Provider Information

NPI Number : 1578176301
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASH FARNAN LCSW
Provider Business Mailing Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-361-3849
Fax Number :
Provider Business Practice Location Address
First Line : 1721 GRIFFIN AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90031-3312
Country : US
Telephone Number : 323-221-4134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2020
Last Update Date : 06/09/2026

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Directions to “ ASH FARNAN LCSW” Practice Location

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