Mr. Frederick Farrokh Randjbar
Orthotic Fitter
321 E Center St
Anaheim
, California 92805-3263
Mr. Frederick Farrokh Randjbar
Orthotic Fitter
321 E Center St
Anaheim
, California 92805-3263
(714) 563-0056
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Frederick Farrokh Randjbar
- 321 E Center St
- Anaheim, CA
- Zip : 92805-3263
- Phone : (714) 563-0056
Second Address
- Mr. Frederick Farrokh Randjbar
- 321 E Center St
- Anaheim, CA
- Zip : 92805-3263
- Phone : (714) 563-0056
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | C21643 | MD |
National Provider Identifier
| NPI | 1932377033 |
|---|---|
| Provider Name | Mr. Frederick Farrokh Randjbar |
| First Address | Anaheim, CA 92805-3263 |
| Second Address | Anaheim, CA 92805-3263 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2008 |
| Last Update Date | 12/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1922099159 | TYPE 2 NPI # (01) | |
| XC0216430 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.