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Provider Information for 1841347176

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PHILIP FARZAD D.D.S

Gender: MALE

Individual NPI: 1841347176

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1841347176
Enumeration Date 2007-01-05
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 16661 VENTURA BLVD STE 815
ENCINO, CA 91436-1996
United States

Phone: 818-905-7787 | Fax: 818-906-7961
View Map External Link
Primary Practice Address 16661 VENTURA BLVD STE 815
ENCINO, CA 91436-1996
United States

Phone: 818-905-7787 | Fax: 818-906-7961
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 43281