Individual
JAFAR FARNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8775 COSTA VERDE BLVD, NO 802, SAN DIEGO, CA 92122-5338
(858) 539-9820
Mailing address
8775 COSTA VERDE BLVD, NO 802, SAN DIEGO, CA 92122-5338
(858) 539-9820
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C51496
CA
Other
Enumeration date
01/15/2017
Last updated
01/15/2017
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