Individual
SHADI FARHADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18102 SKY PARK CIR STE D, IRVINE, CA 92614-6531
(949) 333-2224
Mailing address
27 CALLE CAREYES, SAN CLEMENTE, CA 92673
(949) 606-6818
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT295108
CA
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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