| Farbod Farmand Do A Professional Corp | |
|
23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 | |
| (949) 290-2701 | |
| (949) 326-5099 |
| Full Name | Farbod Farmand Do A Professional Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 23141 Verdugo Dr Ste 201, Laguna Hills, California |
| Authorized Official Name and Position | Farbod Farmand (CEO) |
| Authorized Official Contact | 9492902701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farbod Farmand Do A Professional Corp 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 215-5055 | Farbod Farmand Do A Professional Corp 23141 Verdugo Dr Ste 201 Laguna Hills CA 92653-1341 Ph: (949) 290-2701 |
| NPI Number | 1548771330 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 6002174661 |
|---|---|
| Medicare Enrollment ID | O20180103002121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548771330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Farbod Farmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518295484 PECOS PAC ID: 3678609062 Enrollment ID: I20100324000818 |
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