Provider Demographics
NPI:1952900029
Name:FARNSWORTH, JAROD (PSS- FAMILY ADVOCATE)
Entity type:Individual
Prefix:MR
First Name:JAROD
Middle Name:
Last Name:FARNSWORTH
Suffix:
Gender:M
Credentials:PSS- FAMILY ADVOCATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40925 COUNTY CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-6037
Mailing Address - Country:US
Mailing Address - Phone:951-600-6300
Mailing Address - Fax:951-600-6377
Practice Address - Street 1:40925 COUNTY CENTER DR STE 200
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-6037
Practice Address - Country:US
Practice Address - Phone:951-203-2040
Practice Address - Fax:951-600-6377
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175T00000X
CABGJCTOWPNUFIHRLA175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist