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Organization
FARAZ MEDICAL GROUP, INC
Active
Organization
FARAZ MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND MOALLEMI M.D. (PRESIDENT)
(310) 498-8250
Entity
Organization
Contact information
Practice address
3755 BEVERLY BLVD, 301, LOS ANGELES, CA 90004-3539
(310) 498-8250
(323) 796-0558
Mailing address
1666 THAYER AVE, 301, LOS ANGELES, CA 90024-6056
(310) 498-8250
(323) 796-0558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A112671
CA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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