# DR. F. SHADAN INC.

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

## Provider details

- **NPI number:** 1194053900
- **Authorized official:** DR. FARHAD FARAJI SHADAN M.D., PHD (OWNER)
- **Authorized official phone:** (760) 390-7899

## Contact information

- **Practice address:** 3652 EUREKA WAY, REDDING, CA 96001-0172
- **Practice address phone:** (530) 243-6811
- **Practice address fax:** (530) 243-2977
- **Mailing address:** 322 PROSPECT STREET, APT \#5, LA JOLLA, CA 92037-4657
- **Mailing address phone:** (760) 390-7899
- **Mailing address fax:** (858) 459-3930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173F00000X | Sleep Specialist (PhD) | A66488 | CA | Yes |

## Other

- **Enumeration date:** 12/07/2009
- **Last updated:** 12/07/2009