Organization Name: | ELHAM ELLE FARAJIAN,DPM,PC |
NPI Number: | 1023129665 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELHAM ELLE FARAJIAN (PHYSICIAN/OWNER) |
Mailing Address: | 17822 Beach Blvd Ste 437 Huntington Beach |
State: | CA US |
Postal Code: | 926477181 |
Phone Number: | 7148427277 |
Fax Number: | 7148422719 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |