MEDICARE: DR. HOUMAN FARZIN 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	208D00000X	General Practice Physician	A140627	CA
2	208D00000X	General Practice Physician	288325	NY
3	207QA0505X	Adult Medicine Physician	A140627	CA

General Provider Information

NPI Number	:	1902348816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOUMAN FARZIN M.D.

Provider Business Mailing Address
First Line	:	2467 N CATALINA ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-1130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 WILSHIRE BLVD STE 105
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-4901
Country	:	US
Telephone Number	:	310-526-7619
Fax Number	:

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

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	02/10/2026

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