Farsad, G. Reza H
Farsad, G. Reza H is an sole proprietor health care provider with primary practice located at 1401 N Palm Canyon Dr Suite 103, Palm Springs CA 92262-4434. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Farsad, G. Reza H can be contacted via phone (760) 320-3538.Contact Information
Primary practice address
1401 N Palm Canyon Dr Suite 103
Palm Springs CA 92262-4434
Phone: (760) 320-3538
Fax: (760) 320-4579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 00A378650 | California |
| Other Service Providers / Specialist | 174400000X | A037865 | California |
Profile Details
| NPI number | 1356350805 |
|---|---|
| LBN Legal business name | Farsad, G. Reza H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 20th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356350805 | NPPES |
| California | MEDICAID | 1356350805-01 | |
| California | MEDICAID | 1356350805 |
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