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Individual

DR. FARIBA JAVADI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5750 DOWNEY AVE STE 202, LAKEWOOD, CA 90712-1470
(562) 634-4939
(562) 634-5809
Mailing address
5750 DOWNEY AVE STE 202, LAKEWOOD, CA 90712-1470
(562) 634-4939
(562) 634-5809

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-131172
IL
207RI0008X
Hepatology Physician
Primary
A97057
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036131172
IL
01
1902846306
GROUP NPI
CA
01
GR0100430
GROUP MEDICAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
09/15/2006
Last updated
09/24/2020
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