Individual
MARY FARID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2701 W ALAMEDA AVE STE 201, BURBANK, CA 91505-4406
(818) 845-3773
Mailing address
2701 W ALAMEDA AVE STE 201, BURBANK, CA 91505-4406
(818) 845-3773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A9007
CA
207RG0100X
Gastroenterology Physician
Primary
20A9007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922189216
—
CA
Enumeration date
10/17/2006
Last updated
03/04/2013
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