| Farjoudi Medical Corporation | |
|
23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137 | |
| (949) 943-3334 | |
| (949) 943-3238 |
| Full Name | Farjoudi Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 23521 Paseo De Valencia Ste 108, Laguna Hills, California |
| Authorized Official Name and Position | Farhad Farjoudi (PRESIDENT) |
| Authorized Official Contact | 6142888383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farjoudi Medical Corporation 29911 Niguel Rd # 7993 Laguna Niguel CA 92607-2479 Ph: (619) 288-8383 | Farjoudi Medical Corporation 23521 Paseo De Valencia Ste 108 Laguna Hills CA 92653-3137 Ph: (949) 943-3334 |
| NPI Number | 1215550256 |
|---|---|
| Provider Enumeration Date | 05/26/2020 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 7810310166 |
|---|---|
| Medicare Enrollment ID | O20200706002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215550256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Farhad Farjoudi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1215251822 PECOS PAC ID: 5092956938 Enrollment ID: I20130718000727 |
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