Individual
DR. FRED FARHAD HAFEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 N AZUSA AVE, WEST COVINA, CA 91791-1357
(626) 915-4865
(626) 915-3405
Mailing address
354 N. AZUSA AVE, WEST COVINA, CA 91791
(626) 915-4865
(626) 915-3405
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G19337
CA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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