Abdul S. Farzin M.D., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A53334 Issued in CA

Legal business name

ABDUL S. FARZIN M.D., INC

Practice address

36243 Inland Valley Dr
Suite 240
Wildomar, CA 92595-9549

Phone

(951) 600-0640

Fax

(951) 600-8142

NPI assigned

Jan 30, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Abdul S. Farzin, M.D.

Title

Physician

Phone

(951) 600-0640

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1154467561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR",
            "address_2": "SUITE 240",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959549",
            "telephone_number": "951-600-0640",
            "fax_number": "951-600-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36243 INLAND VALLEY DR",
            "address_2": "SUITE 240",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959549",
            "telephone_number": "951-600-0640",
            "fax_number": "951-600-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDUL S. FARZIN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FARZIN",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "951-600-0640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A53334",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.