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Organization
NIAMEDIC BH PC
Active
Organization
NIAMEDIC BH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHBAZ FARNAD MD (OWNER)
(833) 364-2633
Entity
Organization
Contact information
Practice address
24411 HEALTH CENTER DR STE 330, LAGUNA HILLS, CA 92653-3633
(833) 364-2633
(833) 364-2633
Mailing address
24411 HEALTH CENTER DR STE 330, LAGUNA HILLS, CA 92653-3633
(833) 364-2633
(833) 364-2633
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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