Farrokh Shadab MD INC
NPI #1619194206 in Fountain Valley, California
Provider Information
- NPI Number
- 1619194206
- Entity Type
- Organization
- Organization Name
- Farrokh Shadab MD INC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Apr 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11180 WARNER AVE
- Address 2
- SUITE 169
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-7501
- Phone
- (714) 549-1200
Authorized Official
- Name
- FARROKH SHADAB, MD
- Title
- PRESIDENT
- Phone
- (714) 549-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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