Organization
FAROUGH KERENDI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAROUGH KERENDI MD (OWNER)
(323) 655-1930
Entity
Organization
Contact information
Practice address
6360 WILSHIRE BLVD, SUITE 414, LOS ANGELES, CA 90048-5603
(323) 655-1930
(323) 655-1377
Mailing address
6360 WILSHIRE BLVD, SUITE 414, LOS ANGELES, CA 90048-5603
(323) 655-1930
(323) 655-1377
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A40018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A400181
—
CA
Enumeration date
11/28/2006
Last updated
07/10/2015
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