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Individual

DR. ALI FARROKH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 MARIN ST STE 110, THOUSAND OAKS, CA 91360
(805) 496-0440
(805) 496-9808
Mailing address
555 MARIN ST STE 110, THOUSAND OAKS, CA 91360-4102
(310) 909-3469
(805) 496-9808

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
263761
NY
207R00000X
Internal Medicine Physician
A117693
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
263761
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A117693
CA
207RP1001X
Pulmonary Disease Physician
263761
NY
207RP1001X
Pulmonary Disease Physician
Primary
A117693
CA

Other

Enumeration date
12/02/2009
Last updated
07/17/2018
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