Individual
SIRUS FARIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17822 BEACH BLVD, STE 437, HUNTINGTON BEACH, CA 92647-7101
(714) 841-7878
Mailing address
17822 BEACH BLVD, STE 437, HUNTINGTON BEACH, CA 92647-7101
(714) 841-7878
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A36333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A363330
—
CA
Enumeration date
09/25/2006
Last updated
01/27/2010
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