| Sarah Farag, Md | |
|
6041 Cadillac Ave Los Angeles CA 90034-1702 | |
| (818) 878-8797 | |
| Not Available |
| Full Name | Sarah Farag, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 6041 Cadillac Ave, Los Angeles, California |
| Authorized Official Name and Position | Sarah Farag (PRESIDENT/CEO) |
| Authorized Official Contact | 8188788797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Farag, Md 6041 Cadillac Ave Los Angeles CA 90034-1702 Ph: (818) 878-8797 | Sarah Farag, Md 6041 Cadillac Ave Los Angeles CA 90034-1702 Ph: (818) 878-8797 |
| NPI Number | 1750864922 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 11/01/2018 |
| Medicare PECOS PAC ID | 5193063816 |
|---|---|
| Medicare Enrollment ID | O20190205001038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750864922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarah Farag |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578903977 PECOS PAC ID: 4183905656 Enrollment ID: I20161222000430 |
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