| Shaban Azar Farr, Md | |
|
18541 Sherman Way #101 Reseda CA 91335 | |
| (818) 996-9479 | |
| (818) 363-2100 |
| Full Name | Shaban Azar Farr, Md |
|---|---|
| Speciality | General Practice |
| Location | 18541 Sherman Way, Reseda, California |
| Authorized Official Name and Position | Shaban Azar Farr (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8183602800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaban Azar Farr, Md 18541 Sherman Way #101 Reseda CA 91335 Ph: (818) 360-2800 | Shaban Azar Farr, Md 18541 Sherman Way #101 Reseda CA 91335 Ph: (818) 996-9479 |
| NPI Number | 1942534987 |
|---|---|
| Provider Enumeration Date | 09/23/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942534987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A32840 (California) | Primary |
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