Organization
FARID DIDARI DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID DIDARI DPM (OWNER)
(310) 625-9797
Entity
Organization
Contact information
Practice address
5050 SAN BERNARDINO ST, MONTCLAIR, CA 91763-2326
(310) 625-9797
Mailing address
1141 W REDONDO BEACH BLVD, STE 302, GARDENA, CA 90241-3583
(310) 625-9797
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5242
CA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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