Individual
JOHANNA FARUQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10351 SANTA MONICA BLVD, UNIT 100 STUDIO 19, LOS ANGELES, CA 90025-4036
(951) 867-1198
Mailing address
1809 BAYWOOD DR APT 202, CORONA, CA 92881-3350
(951) 867-1198
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
05/03/2022
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