Farrokh Shadab Md Inc

LBN: Farrokh Shadab Md Inc
Farrokh Shadab Md Inc is an health care organization with primary practice located at 11180 Warner Ave Suite 169, Fountain Valley CA 92708-7501. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Farrokh Shadab Md Inc can be contacted via phone (714) 549-1200, or through Shadab, Farrokh via phone (714) 549-1200.

Contact Information

Primary practice address
11180 Warner Ave Suite 169 Fountain Valley CA 92708-7501
Phone: (714) 549-1200
Fax: (714) 549-3238
Website:
Map and Directions
Authorized official contact:
Name: Shadab, Farrokh Doctor of Medicine (MD)
Phone: (714) 549-1200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A337290 California

Profile Details

NPI number 1619194206
LBN Legal business name Farrokh Shadab Md Inc
DBA Doing business as
Authorized official Shadab, Farrokh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619194206 NPPES
California MEDICAID 00A337290

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