Individual
DAVID FERRAZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A60620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55-1975
FQHC MEDICARE PART A
CA
05
—
FHC71021F
—
CA
01
—
HAP71021F
FPACT
CA
01
—
ZZZ29799Z
FQHC MEDICARE PART B
CA
Enumeration date
09/12/2006
Last updated
12/27/2021
Update your record
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