Faraz Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A112671 Issued in CA

Legal business name

FARAZ MEDICAL GROUP, INC

Practice address

3755 Beverly Blvd
301
Los Angeles, CA 90004-3539

Phone

(310) 498-8250

Fax

(323) 796-0558

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Moallemi, M.D.

Title

President

Phone

(310) 498-8250

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1205215944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1666 THAYER AVE",
            "address_2": "301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900246056",
            "telephone_number": "310-498-8250",
            "fax_number": "323-796-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 BEVERLY BLVD",
            "address_2": "301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043539",
            "telephone_number": "310-498-8250",
            "fax_number": "323-796-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARAZ MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "MOALLEMI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-498-8250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A112671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salim Faraji, PH.D.,
• Faramarz Tehrani, M.D., Inc.
• Farshid Fararooy, M.D.
• Kamand Fararooy, PA-C
• Andrea Farase Trieu
• Alexander Shibuya Farbstein, LCSW
• Rebeca Farca
• Reza Fardanesh
• Sabrina Fardeheb
• Marjan Fardghassemi, PSYD.

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, 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 May 27, 2015; 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.