Organization
MUTAHIR FARHAN MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DARIUS (BILLING MANAGER)
(424) 728-7877
Entity
Organization
Contact information
Practice address
284 DUPONT ST STE 130, CORONA, CA 92879-6029
(951) 497-3749
(954) 405-8701
Mailing address
20810 BAKAL DR, RIVERSIDE, CA 92508-2983
(951) 497-3749
(954) 405-8701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
02/20/2025
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