Individual
MISS MAHNAZ FARAHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST # MC1516A, LOMA LINDA, CA 92354-2804
(909) 558-4905
Mailing address
11234 ANDERSON ST # MC1516A, LOMA LINDA, CA 92354-2804
(909) 558-4905
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A63290
CA
207RG0100X
Gastroenterology Physician
MD192736
OR
Other
Enumeration date
06/13/2006
Last updated
05/23/2022
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