Provider Demographics
NPI:1558844019
Name:FARSCHAD BIRDJANDI MD INC
Entity Type:Organization
Organization Name:FARSCHAD BIRDJANDI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:FARSCHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRDJANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-246-6214
Mailing Address - Street 1:5412 THUNDERBIRD LN
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7056
Mailing Address - Country:US
Mailing Address - Phone:858-246-6214
Mailing Address - Fax:858-246-6214
Practice Address - Street 1:6655 ALVARADO RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5208
Practice Address - Country:US
Practice Address - Phone:619-287-3270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty