Organization
ABDUL S. FARZIN M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL S. FARZIN M.D. (PHYSICIAN)
(951) 600-0640
Entity
Organization
Contact information
Practice address
36243 INLAND VALLEY DR, SUITE 240, WILDOMAR, CA 92595-9549
(951) 600-0640
(951) 600-8142
Mailing address
36243 INLAND VALLEY DR, SUITE 240, WILDOMAR, CA 92595-9549
(951) 600-0640
(951) 600-8142
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A53334
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53334
STATE LICENSE
CA
Enumeration date
01/30/2007
Last updated
03/07/2023
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