Individual provider · NPI-1

Farah Almudhafar, MD

Family Medicine · Riverside, CA

NPI number1740576388
StatusActive
Last updated in NPPESJul 2, 2014

Details

NPI
1740576388
Entity type
Individual (NPI-1)
Name
Farah Almudhafar
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2011
Last updated
Jul 2, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA130949CAYes

Practice location

4310 Orange St
Riverside, CA 92501-3829

Phone 951-781-6335 · Fax 951-781-6365

Mailing address

4310 Orange St
Riverside, CA 92501-3829

Phone 951-781-6335 · Fax 951-781-6365

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