Provider Type Icon

SHABAN AZAR FARR MD NPI 1942534987


NPI Information

NPI: 1942534987
Provider Name: SHABAN AZAR FARR, MD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
18541 SHERMAN WAY
#101
RESEDA, CA
ZIP 91335
Phone: (818) 996-9479
Get Directions

SHABAN AZAR FARR, MD is a general practice in Reseda, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SHABAN AZAR FARR, MD NPI is 1942534987. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18541 SHERMAN WAY
#101
RESEDA, CA
ZIP 91335
Phone: (818) 996-9479
Fax: (818) 363-2100

The provider's authorized official is Shaban Azar Farr .
The authorized official title is Medical Director and has the following contact phone number (818) 360-2800.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 9/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeA32840CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A32840MEDICARE PINCALIFORNIA
2B50211MEDICARE 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.