Farzad David Mahjoubi, MD
Individual provider Active NPI Anesthesiology Physician · Panorama, CA
NPI 1861633166 · NPPES record last updated Jan 9, 2017
Key facts
- NPI
- 1861633166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- A97383 (CA)
- Practice address
- 14850 Roscoe Blvd
Panorama, CA 91402-4618 - Phone
- (818) 787-2222
- NPI assigned
- Mar 16, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mka Hospice Care., Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A97383 | CA | Yes |
Addresses
Primary practice location
14850 Roscoe Blvd
Panorama, CA 91402-4618
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Other providers in Panorama, CA
All providers in Panorama, CA · Anesthesiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.