Provider Demographics
NPI:1356705149
Name:FARAH, NAZIA
Entity type:Individual
Prefix:
First Name:NAZIA
Middle Name:
Last Name:FARAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S MONTE VISTA ST
Mailing Address - Street 2:APT 201
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-9067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 S MONTE VISTA ST
Practice Address - Street 2:APT 201
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-9067
Practice Address - Country:US
Practice Address - Phone:562-697-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-08
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program