Mansuri, Farah

Mansuri, Farah is an individual health care provider with primary practice located at 921 Oak Park Blvd Suite 201, Pismo Beach CA 93449-3264. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Mansuri, Farah can be contacted via phone (805) 546-0411.

Contact Information

Primary practice address
921 Oak Park Blvd Suite 201 Pismo Beach CA 93449-3264
Phone: (805) 546-0411
Fax: (805) 473-4891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 129191 California

Profile Details

NPI number 1154580702
LBN Legal business name Mansuri, Farah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2008
Last updated Mar 27th, 2014 - about 11 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.

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