Provider Demographics
NPI:1982245650
Name:FARIMAN, SAHAR AFRAND (FNP-C)
Entity Type:Individual
Prefix:
First Name:SAHAR
Middle Name:AFRAND
Last Name:FARIMAN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1964 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-2048
Mailing Address - Country:US
Mailing Address - Phone:818-312-5789
Mailing Address - Fax:
Practice Address - Street 1:555 MARIN ST STE 270
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-4112
Practice Address - Country:US
Practice Address - Phone:805-719-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95011855363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty