Organization
O FARRUKH, INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MILLER (OFFICE MANAGER)
(562) 546-2811
Entity
Organization
Contact information
Practice address
23101 LAKE CENTER DRIVE, SUITE 315, LAKE FOREST, CA 92630
(562) 546-2811
(810) 202-7549
Mailing address
23101 LAKE CENTER DRIVE, SUITE 315, LAKE FOREST, CA 92630
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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