| Mark Farber, M.d., Inc. | |
|
8700 Beverly Blvd West Hollywood CA 90048-1804 | |
| (917) 617-2965 | |
| Not Available |
| Full Name | Mark Farber, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8700 Beverly Blvd, West Hollywood, California |
| Authorized Official Name and Position | Mark Farber (PRESIDENT) |
| Authorized Official Contact | 9176172965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Farber, M.d., Inc. 8549 Wilshire Blvd Suite 177 Beverly Hills CA 90211-3104 Ph: (917) 617-2965 | Mark Farber, M.d., Inc. 8700 Beverly Blvd West Hollywood CA 90048-1804 Ph: (917) 617-2965 |
| NPI Number | 1992253504 |
|---|---|
| Provider Enumeration Date | 09/13/2016 |
| Last Update Date | 07/12/2020 |
| Medicare PECOS PAC ID | 2466740022 |
|---|---|
| Medicare Enrollment ID | O20161013001974 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992253504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark Farber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033552187 PECOS PAC ID: 9436447091 Enrollment ID: I20161110000296 |
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