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Organization
FARIBA AKHAVON MD PC
Active
Organization
FARIBA AKHAVON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARIBA AKHAVON M.D. (PHYSICIAN)
(559) 688-8880
Entity
Organization
Contact information
Practice address
316 W ACEQUIA AVE, VISALIA, CA 93291-6232
(559) 688-8880
(559) 688-8877
Mailing address
316 W ACEQUIA AVE, VISALIA, CA 93291-6232
(559) 688-8880
(559) 688-8877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A112198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A112198
MEDICAL LICENSE NUMBER
CA
Enumeration date
12/03/2013
Last updated
01/27/2014
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