Individual
MICHAEL A FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
(310) 450-2024
Mailing address
2644 30TH ST STE 100, SANTA MONICA, CA 90405-3051
(310) 314-6200
(310) 450-2024
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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