| Bijan Farah Md Inc | |
|
17130 Ventura Blvd Encino CA 91316-4003 | |
| (818) 385-1300 | |
| (818) 385-1395 |
| Full Name | Bijan Farah Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17130 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Biajn Farah (PRESIDENT) |
| Authorized Official Contact | 8183851300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bijan Farah Md Inc Po Box 260496 Encino CA 91426-0496 Ph: (818) 385-1300 | Bijan Farah Md Inc 17130 Ventura Blvd Encino CA 91316-4003 Ph: (818) 385-1300 |
| NPI Number | 1811080187 |
|---|---|
| Provider Enumeration Date | 10/01/2006 |
| Last Update Date | 09/05/2007 |
| Medicare PECOS PAC ID | 1759344013 |
|---|---|
| Medicare Enrollment ID | O20041108000626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811080187 | NPI | - | NPPES |
| 00A357721 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A35772 (California) | Primary |
| Provider Name | Bijan Farah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972538890 PECOS PAC ID: 1557324829 Enrollment ID: I20120118000052 |
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