Individual
MR. G. REZA H FARSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 N PALM CANYON DR, SUITE 103, PALM SPRINGS, CA 92262-4434
(760) 320-3538
(760) 320-4579
Mailing address
1401 N PALM CANYON DR, SUITE 103, PALM SPRINGS, CA 92262-4434
(760) 320-3538
(760) 320-4579
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
00A378650
CA
174400000X
Specialist
Primary
A037865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356350805
—
CA
05
—
1356350805-01
—
CA
Enumeration date
08/05/2006
Last updated
12/20/2016
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