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Dr. Jack J Farahi, MD
Specialist in Inglewood, California
NPI 1225034358

Jack J Farahi is a Specialist based in Inglewood, CA. Jack J Farahi practices in Inglewood, CA and has the professional credentials of MD. The NPI Number for Jack J Farahi is 1225034358 and holds a License No. G67763 (California).

The current practice location address for Jack J Farahi is 501 E Hardy St, Inglewood, CA and can be reached out via phone at 310-672-3900 and via fax at 310-671-8438.

Location: 501 E Hardy St, Inglewood, CA, 90301-4057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225034358
Provider Name
Jack J Farahi
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 E Hardy St, Inglewood, CA, 90301-4057
Phone Number
310-672-3900
Fax Number
310-671-8438
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G67763 01 CA MEDICAL LICENSE
00G677630 05 CA
95-4170981 01 CA GROUP PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
501 E Hardy St
City
Inglewood
State
California
Zip
90301-4057
Phone Number
310-672-3900
Fax Number
310-671-8438
person
Provider Business Mailing Address Details
Address
501 E Hardy St
City
Inglewood
State
California
Zip
90301-4057
Phone Number
310-672-3900
Fax Number
310-671-8438
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G67763 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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