Individual
FARAH MANSURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
921 OAK PARK BLVD, SUITE 201, PISMO BEACH, CA 93449-3264
(805) 546-0411
(805) 473-4891
Mailing address
921 OAK PARK BLVD, SUITE 201, PISMO BEACH, CA 93449-3264
(805) 546-0411
(805) 473-4891
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
129191
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2008
Last updated
03/27/2014
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