Individual
DR. HASSAN SALAH FARRAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17075 DEVONSHIRE ST, SUITE 204, NORTHRIDGE, CA 91325-1600
(818) 368-8929
(818) 368-8940
Mailing address
17075 DEVONSHIRE ST, SUITE 204, NORTHRIDGE, CA 91325-1600
(818) 368-8929
(818) 368-8940
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A43178
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A431780
—
CA
Enumeration date
09/25/2006
Last updated
01/09/2012
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