MEDICARE: MICHAEL FARKAS, DPM, PC

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	213E00000X	Podiatrist
2	213EP1101X	Primary Podiatric Medicine Podiatrist
3	213E00000X	Podiatrist	E2843	CA

General Provider Information

NPI Number	:	1861623589
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL FARKAS, DPM, PC

Provider Business Mailing Address
First Line	:	6842 W SUNSET BLVD
Second Line	:	SUITE # 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7008
Country	:	US
Telephone Number	:	323-467-0927
Fax Number	:	323-465-0911

Provider Business Practice Location Address
First Line	:	6842 W SUNSET BLVD
Second Line	:	SUITE # 100
City	:	LOS ANGELES
State	:	CA
Zip	:	90028-7008
Country	:	US
Telephone Number	:	323-467-0927
Fax Number	:	323-465-0911

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MICHAEL FARKAS
Credential	:	DPM
Telephone Number	:	323-467-0927

Provider Enumeration Date	:	07/29/2009
Last Update Date	:	07/29/2009

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