Individual
FARAMARZ DAVIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16260 VENTURA BLVD, SUITE # 830, ENCINO, CA 91436-2203
(818) 990-8008
(818) 990-5030
Mailing address
16260 VENTURA BLVD, SUITE # 830, ENCINO, CA 91436-2203
(818) 990-8008
(818) 990-5030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A051024
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A051024
CA
208D00000X
General Practice Physician
A051024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A510244
—
CA
Enumeration date
05/09/2007
Last updated
06/20/2015
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