Provider Demographics
NPI:1619149267
Name:CONTRACTOR, LAILA FARHAD MINOCHER (MD)
Entity Type:Individual
Prefix:DR
First Name:LAILA
Middle Name:FARHAD MINOCHER
Last Name:CONTRACTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:27762 ANTONIO PKWY STE L1-634
Mailing Address - Street 2:
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694-1140
Mailing Address - Country:US
Mailing Address - Phone:626-825-9464
Mailing Address - Fax:
Practice Address - Street 1:16220 SCIENTIFIC
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4349
Practice Address - Country:US
Practice Address - Phone:949-528-4413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2024-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1071122084P0804X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA107112OtherSTATE OF CALIFORNIA DEPARTMENT OF CONSUMER AFFAIRS