Provider Demographics
NPI:1972164895
Name:YARI, FARNOOSH (MD)
Entity Type:Individual
Prefix:
First Name:FARNOOSH
Middle Name:
Last Name:YARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 CIRCLE CT
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92692-5948
Mailing Address - Country:US
Mailing Address - Phone:949-521-8215
Mailing Address - Fax:
Practice Address - Street 1:73 CIRCLE CT
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-5948
Practice Address - Country:US
Practice Address - Phone:949-521-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program