Individual provider · Type 1 NPI

Farid Moshirbahram, PA

Surgical Physician Assistant · Los Angeles, CA

NPI number 1346434529 Active

Practice location

2200 W 3rd St, #120
Los Angeles, CA 90057-1932

Fax (213) 484-7566

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA14402 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1346434529

Farid Moshirbahram, PA's National Provider Identifier is 1346434529, issued on Aug 30, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 30, 2007.