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Organization
PANTEA FARHADI MD A MEDICAL CORPORATION
Active
Organization
PANTEA FARHADI MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOROUR KHALILI M.D. (PSYCHIATRIST)
(818) 708-3750
Entity
Organization
Contact information
Practice address
8635 W 3RD ST STE 1065W, LOS ANGELES, CA 90048-4120
(818) 708-3750
Mailing address
8635 W 3RD ST STE 1065W, LOS ANGELES, CA 90048-6105
(310) 483-9843
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A105057
CA
251300000X
Local Education Agency (LEA)
—
—
283Q00000X
Psychiatric Hospital
Primary
A105057
CA
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
03/16/2026
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