| Farshad Farzam Dds Inc | |
|
1575 E Florence Ave Suite A Los Angeles CA 90001-2555 | |
| (323) 537-4121 | |
| (323) 537-4529 |
| Full Name | Farshad Farzam Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 1575 E Florence Ave, Los Angeles, California |
| Authorized Official Name and Position | Farshad Farzam (PRESIDENT) |
| Authorized Official Contact | 3235374121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farshad Farzam Dds Inc 1575 E Florence Ave Suite A Los Angeles CA 90001-2555 Ph: (323) 537-4121 | Farshad Farzam Dds Inc 1575 E Florence Ave Suite A Los Angeles CA 90001-2555 Ph: (323) 537-4121 |
| NPI Number | 1427431964 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427431964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 54141 (California) | Primary |
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