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NPI Code Detail

MEDICARE: FARSHID NEJAD, D.P.M. A PROFESSIONAL CORPORATION

MEDICARE: FARSHID NEJAD, D.P.M. A PROFESSIONAL CORPORATION
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
1213ES0103XFoot & Ankle Surgery PodiatristE4525CA

General Provider Information

NPI Number : 1932347697
Entity Type Code : Organization
Provider Name (Legal Business Name) : FARSHID NEJAD, D.P.M. A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 11901 SANTA MONICA BLVD STE 303
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-2782
Country : US
Telephone Number : 323-651-0405
Fax Number : 310-652-3669
Provider Business Practice Location Address
First Line : 11901 SANTA MONICA BLVD STE 303
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-2782
Country : US
Telephone Number : 323-651-0405
Fax Number : 310-652-3669
Authorized Official
Title or Position : PHYSICIAN/PRESIDENT
Name : DR. FARSHID NEJAD
Credential : D.P.M.
Telephone Number : 323-651-0405
Provider Enumeration Date : 02/03/2009
Last Update Date : 04/30/2014

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