Individual
FARNAZ SARA DANAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5100 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1658
(323) 293-7171
Mailing address
5100 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1658
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63918
CA
Other
Enumeration date
02/19/2024
Last updated
05/27/2024
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