Provider Demographics
NPI:1861525511
Name:ALEMI, FARZAD (MD)
Entity type:Individual
Prefix:DR
First Name:FARZAD
Middle Name:
Last Name:ALEMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 E IMPERIAL HWY STE 103
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-2600
Mailing Address - Country:US
Mailing Address - Phone:310-900-5010
Mailing Address - Fax:310-900-5019
Practice Address - Street 1:3628 E IMPERIAL HWY STE 103
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2600
Practice Address - Country:US
Practice Address - Phone:310-900-5010
Practice Address - Fax:310-900-5019
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103262208600000X
MO2014015765208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery