Individual
DR. JOHN P. FARACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11370 ANDERSON ST # 3200, LOMA LINDA, CA 92354
(909) 558-2395
Mailing address
11370 ANDERSON ST # 3200, LOMA LINDA, CA 92354-3450
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0438327
KS
207K00000X
Allergy & Immunology Physician
ME46902
FL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
G162574
CA
Other
Enumeration date
07/18/2006
Last updated
10/21/2019
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