Individual
EMAD SAMIR FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-2658
(951) 697-5460
Mailing address
7117 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-2658
(951) 697-5460
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A66905
CA
2084N0400X
Neurology Physician
Primary
A66905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A669050
—
CA
Enumeration date
07/13/2006
Last updated
12/01/2021
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