Wendy J Farquhar, MD

Individual provider Active NPI Pediatrics Physician · Seaside, CA

NPI 1427484690 · NPPES record last updated Sep 19, 2013

Key facts

NPI
1427484690
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
G049491 (CA)
Practice address
1130 Fremont Blvd
Ste 105-302
Seaside, CA 93955-5700
Phone
(831) 682-4211
Fax
(831) 785-2989
NPI assigned
Sep 19, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G049491CAMDClinical Genetics (M.D.) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X G049491 CA
Pediatrics Physician 208000000X G049491 CA Yes

Addresses

Primary practice location

1130 Fremont Blvd
Ste 105-302
Seaside, CA 93955-5700

Mailing address

1130 Fremont Blvd
Ste 105-302
Seaside, CA 93955-5700
Phone (831) 682-4211

Other providers in Seaside, CA

All providers in Seaside, CA · Pediatrics Physician in California

Sources for this page

Verify at the official NPI Registry.