Organization
VENUS SPECIALTY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARIBA JAVAHERIAN MD (DOCTOR)
(818) 217-4351
Entity
Organization
Contact information
Practice address
17075 DEVONSHIRE ST STE 208, NORTHRIDGE, CA 91325-5408
(818) 217-4351
(818) 217-4104
Mailing address
17075 DEVONSHIRE ST STE 208, NORTHRIDGE, CA 91325-5408
(818) 217-4351
(818) 217-4104
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/15/2007
Last updated
08/14/2019
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