Individual
DR. FARID HASSANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5701 S HOOVER ST, LOS ANGELES, CA 90037-4045
(323) 541-1600
Mailing address
15467 MILLDALE DR, LOS ANGELES, CA 90077-1605
(424) 248-3459
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A6498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A6498
STATE LICENSE TO PRACTICE MEDICINE
CA
Enumeration date
07/17/2012
Last updated
03/07/2023
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