Individual
RENE FARAHMANDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2021 SANTA MONICA BLVD STE 600E, SANTA MONICA, CA 90404-2166
(310) 828-2282
(310) 828-8504
Mailing address
2021 SANTA MONICA BLVD STE 600E, SANTA MONICA, CA 90404-2166
(310) 828-2282
(310) 828-8504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17092
CA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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