Provider Demographics
NPI:1932376514
Name:ARDESHIRPOUR-ZARTOSHTI, FARHAD (MD)
Entity type:Individual
Prefix:DR
First Name:FARHAD
Middle Name:
Last Name:ARDESHIRPOUR-ZARTOSHTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FARHAD
Other - Middle Name:
Other - Last Name:ARDESHIRPOUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 16542
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92623-6542
Mailing Address - Country:US
Mailing Address - Phone:424-242-8608
Mailing Address - Fax:424-242-0410
Practice Address - Street 1:150 S RODEO DR #260
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2445
Practice Address - Country:US
Practice Address - Phone:424-242-8608
Practice Address - Fax:424-242-0410
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1327142082S0099X, 207N00000X, 207YS0123X, 207ND0101X, 207WX0200X, 207NS0135X, 208200000X
NY307473-012082S0099X
WAMD603659402086S0122X, 2082S0099X, 207YS0123X
ORMD224023207YS0123X, 2086S0122X
FLME1713312082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1932376514Medicaid
WA8918689Medicare PIN