Individual
MIESHA FARAHMAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1595 SOQUEL DR STE 140, SANTA CRUZ, CA 95065-1717
(831) 462-4444
(831) 462-4488
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 851-2462
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A186613
CA
Other
Enumeration date
01/23/2019
Last updated
10/17/2024
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