Individual
DR. FARHAD JOHN HAJALILOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2840 LONG BEACH BLVD, SUITE 440, LONG BEACH, CA 90806-1516
(562) 595-6646
(562) 490-0434
Mailing address
955 DEEP VALLEY DR, P.O. BOX 4630, PALOS VERDES PENINSULA, CA 90274-3823
(562) 595-6646
(562) 490-0434
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A84010
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A840100
—
CA
Enumeration date
10/24/2005
Last updated
01/13/2010
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