Individual
DR. ROXANNA FARINPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
73255 EL PASEO, STE 6, PALM DESERT, CA 92260
(760) 341-8878
(760) 341-8820
Mailing address
73255 EL PASEO, STE 6, PALM DESERT, CA 92260
(760) 341-8878
(760) 341-8820
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY16773
CA
103T00000X
Psychologist
PSY16773
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255408282
NPI NUMBER
CA
01
—
AQ859Z
MEDICARE PTAN #
CA
01
—
PSY16773
STATE LICENSE
CA
Enumeration date
11/28/2006
Last updated
03/03/2009
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