Individual
DIBA FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 S IDAHO ST, SUITE 190, LA HABRA, CA 90631-6047
(562) 690-0400
(562) 501-1198
Mailing address
501 S IDAHO ST, SUITE 260, LA HABRA, CA 90631-6047
(592) 501-1720
(562) 501-1198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A129977
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A129977
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/02/2011
Last updated
11/10/2016
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