Doctor Name: | MRS. FARIBA SHOKOOHY |
NPI Number: | 1962694869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A93966 |
Business Practice Address: | 1002 N Fairview St Santa Ana, CA - 927031811 |
Business Phone Number: | 7148358501 |
Business Fax Number: | 7146198770 |
Mailing Address: | 1002 N Fairview St, SANTA ANA |
State: | CA |
Postal Code: | 927031811 |
Phone Number: | 7144364716 |
Fax Number: | 7146198770 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 02/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A93966 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |