Provider Demographics
NPI:1740433705
Name:RAFII, FARHAD (MD)
Entity type:Individual
Prefix:
First Name:FARHAD
Middle Name:
Last Name:RAFII
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7301 MEDICAL CENTER DR STE 201
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1935
Mailing Address - Country:US
Mailing Address - Phone:818-702-8800
Mailing Address - Fax:818-702-0080
Practice Address - Street 1:7301 MEDICAL CENTER DR STE 201
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1935
Practice Address - Country:US
Practice Address - Phone:818-702-8800
Practice Address - Fax:818-702-0080
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA105505207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABI640UMedicare PIN