Organization
ALI FARROKH, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI FARROKH MD (CEO)
(310) 909-3469
Entity
Organization
Contact information
Practice address
555 MARIN ST STE 110, THOUSAND OAKS, CA 91360
(805) 496-0440
(805) 496-9808
Mailing address
555 MARIN ST STE 110, THOUSAND OAKS, CA 91360-4102
(310) 909-3469
(805) 496-9808
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A117693
CA
Other
Enumeration date
06/10/2017
Last updated
07/17/2018
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