Provider Demographics
NPI:1881772911
Name:SARAFIAN, FARJAD (MD)
Entity type:Individual
Prefix:DR
First Name:FARJAD
Middle Name:
Last Name:SARAFIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4521 CAMPUS DR
Mailing Address - Street 2:#366
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2621
Mailing Address - Country:US
Mailing Address - Phone:949-940-8092
Mailing Address - Fax:949-666-6667
Practice Address - Street 1:16305 SAND CANYON AVENUE
Practice Address - Street 2:STE 220
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618
Practice Address - Country:US
Practice Address - Phone:949-940-8092
Practice Address - Fax:949-666-6667
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA72530207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A725300OtherBLUE SHIELD
CA00A725300OtherBLUE SHIELD
CAH92446Medicare UPIN