Provider Demographics
NPI:1124637061
Name:FARID MOAYER, FARZANEH
Entity type:Individual
Prefix:
First Name:FARZANEH
Middle Name:
Last Name:FARID MOAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 CONTRA COSTA BLVD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2371
Mailing Address - Country:US
Mailing Address - Phone:650-924-2864
Mailing Address - Fax:
Practice Address - Street 1:1226 CONTRA COSTA BLVD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94523-2371
Practice Address - Country:US
Practice Address - Phone:650-924-2864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Single Specialty