Organization
BIJAN FARAH MD INC
Active
Other names
Encino Town Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
BIAJN FARAH MD (PRESIDENT)
(818) 385-1300
Entity
Organization
Contact information
Practice address
17130 VENTURA BLVD, ENCINO, CA 91316-4003
(818) 385-1300
(818) 385-1395
Mailing address
PO BOX 260496, ENCINO, CA 91426-0496
(818) 385-1300
(818) 385-1395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A35772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357721
—
CA
Enumeration date
10/01/2006
Last updated
09/05/2007
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