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Farah Mansuri, M.D.

Surgery in Pismo Beach, CA. Individual provider (NPI-1).

NPI number1154580702
StatusActive
Last updated in NPPESMar 27, 2014

Details

NPI
1154580702
Entity type
Individual (NPI-1)
Name
Farah Mansuri
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 7, 2008
Last updated
Mar 27, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X Surgery129191CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Other names

  • Farah Mansoor (Former Name)

Practice location

921 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3264

Phone 805-546-0411 · Fax 805-473-4891

Mailing address

921 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3264

Phone 805-546-0411 · Fax 805-473-4891

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