Individual
MARK FARAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12400 BLOOMFIELD AVE FL 3, SANTA FE SPRINGS, CA 90670-4750
(562) 967-2801
(562) 967-2804
Mailing address
12400 BLOOMFIELD AVE FL 3, SANTA FE SPRINGS, CA 90670-4750
(562) 967-2801
(562) 967-2804
Taxonomy
Speciality
Code
Description
License number
State
2084V0102X
Vascular Neurology Physician
Primary
A141024
CA
Other
Enumeration date
04/01/2014
Last updated
11/24/2020
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