Individual
FARHAD MOATAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11301 WILSHIRE BLVD, MAIL STOP 113, LOS ANGELES, CA 90073
(310) 268-3413
(310) 268-4983
Mailing address
11301 WILSHIRE BLVD, MAIL STOP 113, LOS ANGELES, CA 90073
(310) 268-3413
(310) 268-4983
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
162802-8905
UT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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