Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | A3135 | CA |
NPI | 1427152727 |
---|---|
Provider Name | Dr. Houshang Farhadian |
First Address | Valencia, CA 91355-5640 |
Second Address | Valencia, CA 91355-5319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2006 |
Last Update Date | 01/02/2012 |