Provider Demographics
NPI:1194289868
Name:FARHAD NIKOO INC
Entity type:Organization
Organization Name:FARHAD NIKOO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:NIKOO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:949-943-6090
Mailing Address - Street 1:5092 CINNAMON
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-2318
Mailing Address - Country:US
Mailing Address - Phone:949-943-6090
Mailing Address - Fax:
Practice Address - Street 1:2082 BUSINESS CENTER DR STE 255
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-1162
Practice Address - Country:US
Practice Address - Phone:714-769-6090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2024-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental HealthGroup - Single Specialty