Individual
FARNAZ HAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, D.O
Contact information
Practice address
100 MED PLAZA SUITE 310, LOS ANGELES, CA 90095-4701
(310) 825-2144
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS15364
FL
208600000X
Surgery Physician
Primary
20A18097
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
20A18097
CA
2086X0206X
Surgical Oncology Physician
20A18097
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/27/2015
Last updated
09/09/2020
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