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NPI Code Detail

MEDICARE: FARSHID FARAROOY M.D.

MEDICARE:   FARSHID  FARAROOY  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
1207R00000XInternal Medicine Physician74864MA
2207R00000XInternal Medicine PhysicianC 55122CA

General Provider Information

NPI Number : 1922045939
Entity Type Code : Individual
Provider Name (Legal Business Name) : FARSHID FARAROOY M.D.
Provider Business Mailing Address
First Line : 1946 OVERLAND AVE APT 201
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-5898
Country : US
Telephone Number : 617-888-3600
Fax Number :
Provider Business Practice Location Address
First Line : 8405 BEVERLY BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-3401
Country : US
Telephone Number : 323-653-8622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 05/22/2013

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Directions to “ FARSHID FARAROOY M.D.” Practice Location

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