Organization
DESTINY HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAMYAR FARHANGFAR MD (OWNER)
(916) 235-3601
Entity
Organization
Contact information
Practice address
400 PLAZA DR, FOLSOM, CA 95630-4744
(916) 235-3601
(916) 277-9034
Mailing address
1015 RILEY ST # 6241, FOLSOM, CA 95630-9973
(916) 253-3601
(916) 277-9034
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/14/2021
Last updated
02/14/2021
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