Provider Demographics
NPI:1780341685
Name:REJALI, SEYED FARHAD (ND)
Entity type:Individual
Prefix:DR
First Name:SEYED FARHAD
Middle Name:
Last Name:REJALI
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6221 WILSHIRE BLVD STE 412
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5224
Mailing Address - Country:US
Mailing Address - Phone:888-888-1981
Mailing Address - Fax:
Practice Address - Street 1:6221 WILSHIRE BLVD STE 412
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5224
Practice Address - Country:US
Practice Address - Phone:310-740-3859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-26
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1277175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath