Organization
FARROKH SHADAB MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARROKH SHADAB MD (PRESIDENT)
(714) 549-1200
Entity
Organization
Contact information
Practice address
11180 WARNER AVE, SUITE 169, FOUNTAIN VALLEY, CA 92708-7501
(714) 549-1200
(714) 549-3238
Mailing address
11180 WARNER AVE, SUITE 169, FOUNTAIN VALLEY, CA 92708-7501
(714) 549-1200
(714) 549-3238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A337290
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A337290
—
CA
Enumeration date
04/18/2007
Last updated
08/22/2020
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