MEDICARE: DR. FARSHID SAM RAHBAR M.D., FACP

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	207RG0100X	Gastroenterology Physician	A38265	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110131196C	OTHER	CA	MEDICARE RAILROAD PROV NO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A38265	OTHER	CA	BLUE CROSS PROVIDER NUMBE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	00A382650	OTHER	CA	BLUE SHIELD PROVIDER NUMB
5	A38265	OTHER	CA	STATE LICENSE

General Provider Information

NPI Number	:	1780606061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARSHID SAM RAHBAR M.D., FACP

Provider Business Mailing Address
First Line	:	2080 CENTURY PARK E STE 1804
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2021
Country	:	US
Telephone Number	:	310-289-8000
Fax Number	:	310-203-4592

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E
Second Line	:	SUITE1804
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-2001
Country	:	US
Telephone Number	:	310-553-4400
Fax Number	:	310-553-5590

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	02/04/2026

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Directions to “ DR. FARSHID SAM RAHBAR M.D., FACP” Practice Location

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