Farideh Z Nasserian, M.D.

Individual provider Active NPI Family Medicine Physician · Palos Verdes Estates, CA

NPI 1467764795 · NPPES record last updated Jul 1, 2010

Key facts

NPI
1467764795
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
A41146 (CA)
Practice address
1215 Via Coronel
Palos Verdes Estates, CA 90274-1952
Phone
(310) 465-0660
NPI assigned
Jul 1, 2010
Sex
Female
Sole proprietor
Yes

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
A41146CAMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41146 CA Yes

Addresses

Primary practice location

1215 Via Coronel
Palos Verdes Estates, CA 90274-1952

Mailing address

1215 Via Coronel
Palos Verdes Estates, CA 90274-1952
Phone (310) 465-0660

Other providers in Palos Verdes Estates, CA

All providers in Palos Verdes Estates, CA · Family Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.