Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND889 | CA |
NPI | 1073027553 |
---|---|
Provider Name | Dr. Nina Farokhian |
First Address | Los Angeles, CA 90036-3788 |
Second Address | West Hollywood, CA 90048-1964 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2017 |
Last Update Date | 20/11/2017 |