| Faraz Medical Group, Inc | |
|
3755 Beverly Blvd 301 Los Angeles CA 90004-3539 | |
| (310) 498-8250 | |
| (323) 796-0558 |
| Full Name | Faraz Medical Group, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3755 Beverly Blvd, Los Angeles, California |
| Authorized Official Name and Position | Raymond Moallemi (PRESIDENT) |
| Authorized Official Contact | 3104988250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faraz Medical Group, Inc 1666 Thayer Ave 301 Los Angeles CA 90024-6056 Ph: (310) 498-8250 | Faraz Medical Group, Inc 3755 Beverly Blvd 301 Los Angeles CA 90004-3539 Ph: (310) 498-8250 |
| NPI Number | 1205215944 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205215944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A112671 (California) | Primary |
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