Doctor Name: | DR. DARYOUSH FARAHMAND |
NPI Number: | 1780988683 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A43240 |
Business Practice Address: | 14034 Pioneer Blvd First Floor Norwalk, CA - 906503900 |
Business Phone Number: | 5628646999 |
Business Fax Number: | |
Mailing Address: | 1825 Loma Vista Dr, BEVERLY HILLS |
State: | CA |
Postal Code: | 902101928 |
Phone Number: | 3108597616 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2011 |
NPI Last Update Date: | 01/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A43240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |