Provider Demographics
NPI:1083258362
Name:FARNAD MEDICAL CORPORATION
Entity Type:Organization
Organization Name:FARNAD MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAHBAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:FARNAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-433-7744
Mailing Address - Street 1:5757 WILSHIRE BLVD STE PR2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-3689
Mailing Address - Country:US
Mailing Address - Phone:323-433-7744
Mailing Address - Fax:323-433-7716
Practice Address - Street 1:5757 WILSHIRE BLVD STE PR2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-3689
Practice Address - Country:US
Practice Address - Phone:323-433-7744
Practice Address - Fax:323-433-7716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty