Individual
FARISHAD SHADAI GHADAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8700 TOPANGA CANYON BLVD APT 105, WEST HILLS, CA 91304-2433
(818) 269-1106
Mailing address
8700 TOPANGA CANYON BLVD APT 105, WEST HILLS, CA 91304-2433
(818) 269-1106
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
AT4308
CA
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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