Individual
BIJAN FARAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17130 VENTURA BLVD, ENCINO, CA 91316-4003
(818) 385-1300
(818) 385-1395
Mailing address
PO BOX 260496, ENCINO, CA 91426-0496
(818) 385-1300
(818) 385-1395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A35772
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A357720
—
CA
Enumeration date
07/11/2006
Last updated
09/05/2007
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