Farrokh Shadab Md Inc
Pediatrics
Farrokh Shadab Md Inc is a Fountain Valley, California based Pediatric center with medical specialization in
General Pediatrics.
It is located at
11180 Warner Ave, Suite 169, Fountain Valley, California - 92708-7501. They can be contacted on phone at
714-549-1200 and fax number 714-549-3238.
NPI number (Unique professional ID) for Farrokh Shadab Md Inc is
1619194206 which was assigned by NPPES on 18 Apr, 2007 and it was last updated on 22 Aug, 2020.
Farrokh Shadab Md Inc license number is
A337290 for Pediatrics (208000000X) in California.
Farrokh Shadab Md Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Farrokh Shadab Md Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Farrokh Shadab Md Inc |
|---|
Business Address:
Farrokh Shadab Md Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11180 Warner Ave, Suite 169
Fountain Valley, CA, 92708-7501
United States |
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| Phone Number : | 714-549-1200 |
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| Fax Number : | 714-549-3238 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619194206 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Apr, 2007 |
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| Last Updated On : | 22 Aug, 2020 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Farrokh Shadab |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 714-549-1200 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Farrokh Shadab Md Inc are as mentioned. Primary taxonomy code for Farrokh Shadab Md Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A337290 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Farrokh Shadab Md Inc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A337290 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11180 Warner Ave, Suite 169
Fountain Valley, CA, 92708-7501
United States |
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| Phone Number : | 714-549-1200 |
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| Fax Number : | 714-549-3238 |
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Business Location:
Patients can refer following map for directions to
Farrokh Shadab Md Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.