Individual
FARIBA JAVAHERIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
17075 DEVONSHIRE ST STE 208, NORTHRIDGE, CA 91325-5408
(818) 217-4351
(818) 217-4104
Mailing address
17075 DEVONSHIRE ST STE 208, NORTHRIDGE, CA 91325-5408
(818) 217-4351
(818) 217-4104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A052405
CA
Other
Enumeration date
12/13/2006
Last updated
07/09/2019
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