Individual
TED FARZANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE RM B186, LOS ANGELES, CA 90095
(310) 794-7953
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A145309
CA
390200000X
Student in an Organized Health Care Education/Training Program
145309
CA
Other
Enumeration date
10/11/2016
Last updated
08/07/2018
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