Individual
FARSHAD B NOWZARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1141 W REDONDO BEACH BLVD, SUITE# 303, GARDENA, CA 90247-3586
(310) 344-1017
Mailing address
1141 W REDONDO BEACH BLVD, SUITE# 303, GARDENA, CA 90247-3586
(310) 344-1017
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A75966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DQ614Q
PTAN NUMBER
CA
Enumeration date
11/29/2006
Last updated
03/17/2014
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