Individual
FARNAZ MEMARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST, SUITE #4000, LOS ANGELES, CA 90033-5331
(323) 442-7160
Mailing address
1450 SAN PABLO ST, SUITE 3700, LOS ANGELES, CA 90033-5331
(323) 442-7158
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A79896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A798960
BLUE SHIELD
CA
05
—
00A798960
—
CA
Enumeration date
04/25/2007
Last updated
11/29/2021
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