Individual
DR. FARNOUSH M MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4400 V ST STE 1225, SACRAMENTO, CA 95817-1445
(916) 734-2395
Mailing address
9043 CAIRN ST, GRANITE BAY, CA 95746-8929
(516) 365-7218
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
188613
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
188613
CA
Other
Enumeration date
05/04/2009
Last updated
10/11/2023
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