Individual
FARHAD B NOWZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 LOMITA BLVD, STE 502, TORRANCE, CA 90505-4988
(310) 921-1100
(310) 921-9922
Mailing address
3400 LOMITA BLVD, STE 502, TORRANCE, CA 90505-4988
(310) 921-1100
(310) 921-9922
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A71464
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203177408
TAX ID
CA
01
—
DG3479
MCRR GROUP PTAN
CA
01
—
P00728133
MEDICARE RR
CA
Enumeration date
07/23/2006
Last updated
09/27/2016
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