# DR MORTEZA FARR DO INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033425350
- **Authorized official:** DR. MORTEZA M FARR D.O. (PRESIDENT/CEO)
- **Authorized official phone:** (831) 713-8879

## Contact information

- **Practice address:** 125 N JACKSON AVE STE 101, SAN JOSE, CA 95116-1914
- **Practice address phone:** (408) 258-6565
- **Practice address fax:** (408) 258-1220
- **Mailing address:** 125 N JACKSON AVE STE 101, SAN JOSE, CA 95116-1914
- **Mailing address phone:** (831) 713-8879
- **Mailing address fax:** (408) 258-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20A8078 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010