Organization
FARSHAD J NOSRATIAN M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD JOSEPH NOSRATIAN M.D, (PRESIDENT)
(310) 679-9999
Entity
Organization
Contact information
Practice address
11726 GREVILLEA AVE, HAWTHORNE, CA 90250-2223
(310) 679-9999
(310) 679-0000
Mailing address
PO BOX 215, HAWTHORNE, CA 90251-0215
(310) 679-9999
(310) 679-0000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G53751
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G537511
—
CA
Enumeration date
09/14/2007
Last updated
09/14/2007
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