Individual
FARID YASHARPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14671 RINALDI ST, SAN FERNANDO, CA 91340-4199
(818) 270-9030
(818) 270-9039
Mailing address
14671 RINALDI ST, SAN FERNANDO, CA 91340-4199
(818) 270-9030
(818) 270-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65312
CA
208000000X
Pediatrics Physician
A065312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A653120
P10
CA
Enumeration date
08/18/2005
Last updated
12/17/2014
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