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Individual

JOSE FERNANDO FARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5161 POMONA BLVD STE 213, LOS ANGELES, CA 90022-1749
(626) 316-0829
Mailing address
5161 POMONA BLVD STE 213, LOS ANGELES, CA 90022-1749
(626) 316-0829

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
2085U0001X
CA

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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