Farzad Jacob Khoubian, MD Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A95916 Issued in CA

Legal business name

FARZAD JACOB KHOUBIAN, MD INC.

Doing business as

Advanced Eye Institute

Practice address

1026 W West Covina Pkwy
#B
West Covina, CA 91790-8204

Phone

(626) 593-4234

Fax

(626) 956-0555

NPI assigned

Nov 27, 2013

Last updated

Jun 14, 2020By 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. Farzad Jacob Khoubian, M.D.NPI 1013195841

Title

Ceo

Phone

(310) 430-2345

Specialties & licenses 1

Addresses

Other names 1

• Advanced Eye Institute Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farzad J. Khoubian, M.D.

  • Ophthalmology Physician
  • West Covina, CA
  • NPI 1013195841
  NPD Authorized official

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592092800000",
    "number": "1740611821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY",
            "address_2": "#B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917908204",
            "telephone_number": "626-593-4234",
            "fax_number": "626-956-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W WEST COVINA PKWY",
            "address_2": "#B",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917908204",
            "telephone_number": "626-593-4234",
            "fax_number": "626-956-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARZAD JACOB KHOUBIAN, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A",
        "authorized_official_last_name": "KHOUBIAN",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-430-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A95916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.