| Fariborz Shams, Do Inc. | |
|
515 S Beach Blvd Ste F Anaheim CA 92804-1812 | |
| (714) 995-7503 | |
| Not Available |
| Full Name | Fariborz Shams, Do Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 515 S Beach Blvd Ste F, Anaheim, California |
| Authorized Official Name and Position | Fariborz Shams (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7149957503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fariborz Shams, Do Inc. 515 S Beach Blvd Ste F Anaheim CA 92804-1812 Ph: (714) 995-7503 | Fariborz Shams, Do Inc. 515 S Beach Blvd Ste F Anaheim CA 92804-1812 Ph: (714) 995-7503 |
| NPI Number | 1215107495 |
|---|---|
| Provider Enumeration Date | 03/04/2008 |
| Last Update Date | 02/23/2012 |
| Medicare PECOS PAC ID | 9739267709 |
|---|---|
| Medicare Enrollment ID | O20080416000679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215107495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6510 (California) | Primary |
| Provider Name | Selma Prechel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629252176 PECOS PAC ID: 1850479791 Enrollment ID: I20080417000596 |
| Provider Name | Fariborz Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063421865 PECOS PAC ID: 1557449527 Enrollment ID: I20100830000943 |
| Provider Name | Erika Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477946747 PECOS PAC ID: 3173841830 Enrollment ID: I20150409002495 |
| Provider Name | Karen J Caruso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679816680 PECOS PAC ID: 0648572297 Enrollment ID: I20160113002149 |
| Provider Name | Lucia Young |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518227917 PECOS PAC ID: 1153607254 Enrollment ID: I20170403002381 |
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