Individual
DR. BASEM R. FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3300 E SOUTH ST STE 201, LAKEWOOD, CA 90805
(626) 524-4132
Mailing address
3300 E SOUTH ST STE 201, LAKEWOOD, CA 90805-4588
(626) 524-4132
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C53207
CA
207Q00000X
Family Medicine Physician
MA07030500
NJ
Other
Enumeration date
10/13/2006
Last updated
08/16/2018
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