Organization
GEVINAH HEALTHCARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FARAH (OWNER)
(310) 933-5688
Entity
Organization
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(310) 933-5688
Mailing address
9171 WILSHIRE BLVD STE 500, BEVERLY HILLS, CA 90210-5536
(310) 933-5688
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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