Individual
DR. FARHAD FARJOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5555 RESERVOIR DR, STE 312, SAN DIEGO, CA 92120-5173
(619) 269-1296
(619) 639-7286
Mailing address
29911 NIGUEL RD, UNIT 7693, LAGUNA NIGUEL, CA 92607-2471
(614) 288-8383
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A123543
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
A123543
CA
208M00000X
Hospitalist Physician
A123543
CA
Other
Enumeration date
03/25/2010
Last updated
04/05/2021
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