Individual
FARHAN KHABAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 E VALENCIA MESA DR, FULLERTON, CA 92835-3809
(714) 871-3280
(714) 707-4238
Mailing address
15642 SAND CANYON AVE UNIT 54508, IRVINE, CA 92619-5454
(714) 519-1537
(714) 519-1537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A69690
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A69690
CA
207RP1001X
Pulmonary Disease Physician
Primary
A69690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A69690
MEDICAL LICENSE
CA
Enumeration date
09/25/2006
Last updated
10/19/2020
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