Individual
FAROUGH KERENDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
11/14/2011
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