# MUTAHIR FARHAN MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1245055151
- **Authorized official:** MR. JOHN DARIUS (BILLING MANAGER)
- **Authorized official phone:** (424) 728-7877

## Contact information

- **Practice address:** 284 DUPONT ST STE 130, CORONA, CA 92879-6029
- **Practice address phone:** (951) 497-3749
- **Practice address fax:** (954) 405-8701
- **Mailing address:** 20810 BAKAL DR, RIVERSIDE, CA 92508-2983
- **Mailing address phone:** (951) 497-3749
- **Mailing address fax:** (954) 405-8701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 02/20/2025