Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | A60156 | CA |
N | 207QG0300X | Family Doctor - Geriatric Medicine | A60156 | CA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A60156 | CA |
NPI | 1659380657 |
---|---|
Provider Name | Todd Allen Farrer |
First Address | Bakersfield, CA 93308-5199 |
Second Address | Bakersfield, CA 93308-5199 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 09/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006A01560 | (02) | CA |
H44760 | (02) |