Kamron A Fariba Do Inc | |
415 W Route 66 Ste 202 Glendora CA 91740-4335 | |
(626) 963-4467 | |
Not Available |
Full Name | Kamron A Fariba Do Inc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 415 W Route 66 Ste 202, Glendora, California |
Authorized Official Name and Position | Kamron A Fariba (CEO, SOLE OWNER) |
Authorized Official Contact | 4087721795 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kamron A Fariba Do Inc 415 W Route 66 Ste 202 Glendora CA 91740-4335 Ph: (626) 963-4467 | Kamron A Fariba Do Inc 415 W Route 66 Ste 202 Glendora CA 91740-4335 Ph: (626) 963-4467 |
NPI Number | 1114756160 |
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Provider Enumeration Date | 07/29/2024 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114756160 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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