Shirin M Farahmand, MD | |
101 E. Valencia Mesa Dr., Fullerton, CA 92635 | |
(714) 992-3148 | |
(714) 992-3055 |
Full Name | Shirin M Farahmand |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 40 Years |
Location | 101 E. Valencia Mesa Dr., Fullerton, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255384905 | NPI | - | NPPES |
00A485780 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | A48578 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Jude Medical Center | Fullerton, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Pathology Group Inc | 5698839637 | 6 |
Entity Name | The Pathology Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316196892 PECOS PAC ID: 5698839637 Enrollment ID: O20090205000474 |
Mailing Address | Practice Location Address |
---|---|
Shirin M Farahmand, MD Po Box 749241, Los Angeles, CA 90074-9241 Ph: (714) 992-3907 | Shirin M Farahmand, MD 101 E. Valencia Mesa Dr., Fullerton, CA 92635 Ph: (714) 992-3148 |
Howard Friedberg, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E Valencia Mesa Dr., Fullerton, CA 92635 Phone: 714-992-3712 Fax: 714-992-3055 | |
Cynthia N. Miller, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Fullerton, CA 92635 Phone: 714-992-3760 Fax: 714-992-3055 | |
Mark Boonyasampant, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 510-388-7271 Fax: 714-446-7546 | |
John R. Craig, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valenica Mesa Drive, Fullerton, CA 92835 Phone: 714-992-3757 Fax: 714-992-3055 | |
Patrick L. Fitzgibbons, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-446-7505 Fax: 714-446-7546 | |
Jay Packer, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 101 E. Valencia Mesa Drive, Pathology Dept, Fullerton, CA 92835 Phone: 714-992-3907 Fax: 714-992-3055 |