Provider Demographics
NPI:1780479659
Name:GHAEMI, FERESHTEH (DO)
Entity type:Individual
Prefix:DR
First Name:FERESHTEH
Middle Name:
Last Name:GHAEMI
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 VIA DEL MONTE
Mailing Address - Street 2:
Mailing Address - City:PALOS VERDES ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-1208
Mailing Address - Country:US
Mailing Address - Phone:310-944-5981
Mailing Address - Fax:
Practice Address - Street 1:994 S LA BREA AVE
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3816
Practice Address - Country:US
Practice Address - Phone:310-671-2420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program