Basic Information
| Provider Information | |||||||||
| NPI: | 1346388600 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KERENDIAN | ||||||||
| FirstName: | FARZIN | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 10464 | ||||||||
| Address2: | |||||||||
| City: | BEVERLY HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902133464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102744900 | ||||||||
| FaxNumber: | 6613274404 | ||||||||
| Practice Location | |||||||||
| Address1: | 2080 CENTURY PARK E STE 607 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900672009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3102744900 | ||||||||
| FaxNumber: | 3106136137 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/01/2007 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2086S0122X | 20A7647 | CA | N | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | 208600000X | 20A7647 | CA | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.