Individual
DR. ESHAGH ISAAC FARAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1729 N. OLIVE AVE, SUITE 11, TURLOCK, CA 95382
(209) 667-0543
(209) 667-0613
Mailing address
PO BOX 3166, TURLOCK, CA 95381-3166
(209) 667-0543
(209) 667-0613
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A78778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A787780
MEDI-CAL
—
Enumeration date
09/06/2006
Last updated
07/08/2007
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