Provider Demographics
NPI:1609907518
Name:JAMET, FARAH ANGUIZ (CNM, NP)
Entity Type:Individual
Prefix:MRS
First Name:FARAH
Middle Name:ANGUIZ
Last Name:JAMET
Suffix:
Gender:F
Credentials:CNM, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6846 KINGS HARBOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275
Mailing Address - Country:US
Mailing Address - Phone:310-377-0045
Mailing Address - Fax:310-377-0422
Practice Address - Street 1:6846 KINGS HARBOR DR
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-4622
Practice Address - Country:US
Practice Address - Phone:310-377-0045
Practice Address - Fax:310-377-0422
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA707367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife