Individual
MS. FARAH GHADIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2222 E 1ST ST, LOS ANGELES, CA 90033-3902
(323) 266-2100
(323) 266-2188
Mailing address
2222 E 1ST ST, LOS ANGELES, CA 90033-3902
(323) 266-2100
(323) 266-2188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13849
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA13849
—
CA
Enumeration date
10/12/2007
Last updated
10/12/2007
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