MEDICARE: SALWA FARAG

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	207R00000X	Internal Medicine Physician	A48537	CA

General Provider Information

NPI Number	:	1902950447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALWA FARAG

Provider Business Mailing Address
First Line	:	301 S FAIR OAKS AVE
Second Line	:	SUITE 300
City	:	PASADENA
State	:	CA
Zip	:	91105-2561
Country	:	US
Telephone Number	:	626-795-7556
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 S FAIR OAKS AVE
Second Line	:	SUITE 300
City	:	PASADENA
State	:	CA
Zip	:	91105-2561
Country	:	US
Telephone Number	:	626-795-7556
Fax Number	:

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	12/03/2021

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Directions to “ SALWA FARAG ” Practice Location

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