Individual
FARID DIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5451 WALNUT AVE, CHINO, CA 91710-2609
(909) 464-8600
Mailing address
1141 W REDONDO BEACH BLVD, STE 302, GARDENA, CA 90247-3583
(310) 515-8155
(310) 515-8833
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
EL1977
CA
Other
Enumeration date
02/17/2015
Last updated
01/08/2016
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