Organization
DR. F. SHADAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD FARAJI SHADAN M.D., PHD (OWNER)
(760) 390-7899
Entity
Organization
Contact information
Practice address
3652 EUREKA WAY, REDDING, CA 96001-0172
(530) 243-6811
(530) 243-2977
Mailing address
322 PROSPECT STREET, APT #5, LA JOLLA, CA 92037-4657
(760) 390-7899
(858) 459-3930
Taxonomy
Speciality
Code
Description
License number
State
173F00000X
Sleep Specialist (PhD)
Primary
A66488
CA
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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