Individual
DR. FARIED BANIMAHD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1533 E 4TH ST, SANTA ANA, CA 92701-5115
(949) 347-8721
(949) 347-8709
Mailing address
1835 NEWPORT BLVD STE A109-559, COSTA MESA, CA 92627-5031
(949) 347-8721
(949) 347-8709
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A100516
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A100516
CA
Other
Enumeration date
12/17/2008
Last updated
09/30/2022
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