Mutahir Farhan Medical Corporation
Internal Medicine, Addiction Medicine in Corona, CA. Organization (NPI-2).
NPI number1245055151
StatusActive
Last updated in NPPESFeb 20, 2025
Details
- NPI
- 1245055151
- Entity type
- Organization (NPI-2)
- Legal business name
- Mutahir Farhan Medical Corporation
- Organization subpart
- No
- Enumeration date
- Nov 18, 2024
- Certification date
- Feb 12, 2025
- Last updated
- Feb 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RA0401X | Internal Medicine, Addiction Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
284 Dupont St Ste 130Corona, CA 92879-6029
Phone 951-497-3749 · Fax 954-405-8701
Mailing address
20810 Bakal DrRiverside, CA 92508-2983
Phone 951-497-3749 · Fax 954-405-8701
Authorized official
John Darius
Billing Manager
4247287877
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