Individual
FARDAD BAROUMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15047 LOS GATOS BLVD, STE.200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Mailing address
15047 LOS GATOS BLVD, STE.200, LOS GATOS, CA 95032-2054
(408) 364-6799
(408) 378-4510
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A103643
CA
Other
Enumeration date
11/02/2006
Last updated
12/22/2011
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