| Farridah Shafiee Do Inc | |
|
135 Macaw Ln Simi Valley CA 93065-3153 | |
| (805) 210-2424 | |
| Not Available |
| Full Name | Farridah Shafiee Do Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Macaw Ln, Simi Valley, California |
| Authorized Official Name and Position | Marissa Rivera (PRACTICE MANAGER) |
| Authorized Official Contact | 8052168261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farridah Shafiee Do Inc 135 Macaw Ln Simi Valley CA 93065-3153 Ph: (805) 210-2424 | Farridah Shafiee Do Inc 135 Macaw Ln Simi Valley CA 93065-3153 Ph: (805) 210-2424 |
| NPI Number | 1942960745 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Medicare PECOS PAC ID | 8123411287 |
|---|---|
| Medicare Enrollment ID | O20220214000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942960745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Farridah Shafiee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538199765 PECOS PAC ID: 0244213056 Enrollment ID: I20090716000239 |
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