Provider Demographics
NPI:1427484690
Name:FARQUHAR, WENDY J (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:J
Last Name:FARQUHAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 FREMONT BLVD
Mailing Address - Street 2:STE 105-302
Mailing Address - City:SEASIDE
Mailing Address - State:CA
Mailing Address - Zip Code:93955-5700
Mailing Address - Country:US
Mailing Address - Phone:831-682-4211
Mailing Address - Fax:831-785-2989
Practice Address - Street 1:1130 FREMONT BLVD
Practice Address - Street 2:STE 105-302
Practice Address - City:SEASIDE
Practice Address - State:CA
Practice Address - Zip Code:93955-5700
Practice Address - Country:US
Practice Address - Phone:831-682-4211
Practice Address - Fax:831-785-2989
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG049491207SG0201X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)