Individual
MICHAEL LLOYD FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3330 CHURN CREEK RD STE C3, REDDING, CA 96002-2532
(530) 222-3678
Mailing address
PO BOX 991480, REDDING, CA 96099-1480
(530) 229-9300
(530) 229-9045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A9624
CA
207R00000X
Internal Medicine Physician
20A9624
CA
208M00000X
Hospitalist Physician
Primary
20A9624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A9624
LICENSE
CA
Enumeration date
08/05/2006
Last updated
12/14/2018
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