Basic Information
Provider Information
NPI: 1841224177
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SIGARI
FirstName: FARHAD
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3098
Address2:  
City: TORRANCE
State: CA
PostalCode: 905103098
CountryCode: US
TelephoneNumber: 3107923914
FaxNumber: 8558984055
Practice Location
Address1: 4640 ADMIRALTY WAY
Address2: SUITE 718
City: MARINA DEL REY
State: CA
PostalCode: 902926621
CountryCode: US
TelephoneNumber: 3108234444
FaxNumber: 3103637085
Other Information
ProviderEnumerationDate: 07/11/2006
LastUpdateDate: 08/13/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X49437WIY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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