MEDICARE: DR. FARZAD ALEMI MD

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	208600000X	Surgery Physician	A103262	CA

General Provider Information

NPI Number	:	1861525511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FARZAD ALEMI MD

Provider Business Mailing Address
First Line	:	3628 E IMPERIAL HWY STE 103
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2600
Country	:	US
Telephone Number	:	310-900-5010
Fax Number	:	310-900-5019

Provider Business Practice Location Address
First Line	:	3628 E IMPERIAL HWY STE 103
Second Line	:
City	:	LYNWOOD
State	:	CA
Zip	:	90262-2600
Country	:	US
Telephone Number	:	310-900-5010
Fax Number	:	310-900-5019

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	02/04/2021

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