Organization
SHABAN AZAR FARR, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHABAN AZAR FARR MD (MEDICAL DIRECTOR)
(818) 360-2800
Entity
Organization
Contact information
Practice address
18541 SHERMAN WAY, #101, RESEDA, CA 91335
(818) 996-9479
(818) 363-2100
Mailing address
18541 SHERMAN WAY, #101, RESEDA, CA 91335
(818) 360-2800
(818) 363-2100
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A32840
CA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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