Individual
DR. FARROUKH AJIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 WESTLAKE BLVD, SUITE #121, WESTLAKE VILLAGE, CA 91361-1929
(818) 879-9348
(818) 879-9358
Mailing address
3448 WHITERIVER PL, WESTLAKE VILLAGE, CA 91361-5517
(818) 879-9348
(818) 879-9358
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A37062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370620
—
CA
05
—
10629
—
ND
Enumeration date
11/29/2006
Last updated
07/30/2009
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