Individual
DR. ERIC D FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLZ, SUITE 140, LOS ANGELES, CA 90095-0001
(310) 202-6204
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C54683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C546830
—
CA
Enumeration date
10/02/2006
Last updated
09/19/2011
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