Provider Demographics
NPI:1578785408
Name:MOKRI-ARGANEH, FARKHONDEH (DC)
Entity Type:Individual
Prefix:
First Name:FARKHONDEH
Middle Name:
Last Name:MOKRI-ARGANEH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16767 VALLEY BLVD.
Mailing Address - Street 2:SUITE 'D'
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335
Mailing Address - Country:US
Mailing Address - Phone:909-343-1881
Mailing Address - Fax:909-349-1819
Practice Address - Street 1:16767 VALLEY BLVD.
Practice Address - Street 2:SUITE 'D'
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335
Practice Address - Country:US
Practice Address - Phone:909-343-1881
Practice Address - Fax:909-349-1819
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC25354111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC253540Medicare ID - Type UnspecifiedPROVIDER ID
CAU95177Medicare UPIN