FARSHAD NOWZARI MD INC NPI 1700294386

NPI Information

  • NPI: 1700294386
  • Provider Name: FARSHAD NOWZARI, MD INC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: SOCAL ADVANCED UROLOGY
  • CLIA Number: 05D2078397
  • Address: 1141 W REDONDO BEACH BLVD
    SUITE #303
    GARDENA, CA
    ZIP 90247
  • Phone: (310) 538-2930

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NPI Details

FARSHAD NOWZARI, MD INC is an urology in Gardena, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. FARSHAD NOWZARI, MD INC NPI is 1700294386. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Socal Advanced Urology.

The provider's business location address is:

1141 W REDONDO BEACH BLVD
SUITE #303
GARDENA, CA
ZIP 90247-586
Phone: (310) 538-2930
Fax: (310) 538-2932

The provider's authorized official is Farshad Nowzari .
The authorized official title is Physician/ Managing Partner and has the following contact phone number (310) 538-2930.

The CLIA number assigned to this NPI record is 05D2078397 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyA75966CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H554343MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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