# FARIED BANIMAHD MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South County Addiction and Treatment Center, Zephyr Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073962171
- **Authorized official:** DR. FARIED BANIMAHD MD (CHIEF MEDICAL AND EXECUTIVE OFFICER)
- **Authorized official phone:** (949) 305-8910

## Contact information

- **Practice address:** 1533 E 4TH ST STE 4, SANTA ANA, CA 92701-5115
- **Practice address phone:** (949) 347-8721
- **Practice address fax:** (949) 347-8709
- **Mailing address:** 1835 NEWPORT BLVD STE A109-559, COSTA MESA, CA 92627-5031
- **Mailing address phone:** (949) 347-8721
- **Mailing address fax:** (949) 347-8709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2016
- **Last updated:** 01/10/2020