Individual
KAMBIZ FARBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 LINCOLN BLVD, MARINA DEL REY, CA 90292-6306
(310) 823-8911
(310) 823-8911
Mailing address
8362 TAMARACK VLG STE 119401, WOODBURY, MN 55125-3392
(866) 433-8432
(866) 433-8432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.138059
OH
207R00000X
Internal Medicine Physician
42501
MN
207R00000X
Internal Medicine Physician
43959-20
WI
207R00000X
Internal Medicine Physician
44614
OK
207R00000X
Internal Medicine Physician
63068
AZ
207R00000X
Internal Medicine Physician
Primary
C55570
CA
207R00000X
Internal Medicine Physician
CDR.0002692
CO
207RN0300X
Nephrology Physician
42501
MN
208M00000X
Hospitalist Physician
Primary
C55570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033640800
—
MN
01
—
CDR.0002692
LICENSE
CO
Enumeration date
05/20/2006
Last updated
04/06/2026
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