Individual
MR. FREDERICK FARROKH RANDJBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BOCPO
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C21643
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1922099159
TYPE 2 NPI #
—
05
—
XC0216430
—
CA
Enumeration date
02/12/2008
Last updated
02/12/2008
Update your record
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