Provider Demographics
NPI:1013195841
Name:KHOUBIAN, FARZAD J (MD)
Entity Type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:J
Last Name:KHOUBIAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1026 W WEST COVINA PKWY
Mailing Address - Street 2:#B
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-8204
Mailing Address - Country:US
Mailing Address - Phone:626-593-4234
Mailing Address - Fax:626-956-0555
Practice Address - Street 1:1026 W WEST COVINA PKWY
Practice Address - Street 2:#B
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-8204
Practice Address - Country:US
Practice Address - Phone:626-593-4234
Practice Address - Fax:626-956-0555
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2013-12-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA95916207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology