MISS LILLIAN P FARRAH , NPI 1003016635 — LOS ANGELES (CA)

NPI 1003016635

12+ Years Experience Individual

MISS LILLIAN P FARRAH

07/22/2007
PROVIDER ENUMERATION DATE
07/22/2007
LAST UPDATE DATE
1003016635
NPI NUMBER

About MISS LILLIAN P FARRAH

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

MISS LILLIAN P FARRAH is a provider established in LOS ANGELES, CA. The NPI number of MISS LILLIAN P FARRAH is 1003016635 and was assigned on 07/22/2007. The practitioners primary taxonomy code is: 390200000X CA .

Mailing address

  • City: LOS ANGELES
  • State: CA
  • Postal code: 900421678
  • Phone: 2136751500
  • Address: 4770 YORK BLVD APT 112

Primary Practice Address

  • Region : LOS ANGELES, CA
  • NPI : 1003016635
  • Phone : 2137382318
  • Postalcode : 900201912
  • Address : 550 S VERMONT AVE

Provider taxonomy - Student in an Organized Health Care Education/Training Program

  • Taxonomy code: 390200000X
  • License state: CA

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Contacts:

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  • MISS LILLIAN P FARRAH
  • Address : 550 S VERMONT AVE
  • Region : LOS ANGELES, CA
  • NPI : 1003016635
  • Phone : 2137382318
  • Postalcode : 900201912

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address550 S VERMONT AVE
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameLOS ANGELES
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameCA
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code900201912
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number2137382318
The telephone number associated with the location address of the provider being identified.
NPI1003016635
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Provider Enumeration Date07/22/2007
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07/22/2007
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)MISS LILLIAN P FARRAH
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address4770 YORK BLVD APT 112
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameLOS ANGELES
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameCA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code900421678
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2136751500
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Healthcare Provider Taxonomy Code #1390200000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Student in an Organized Health Care Education/Training Program
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Provider License Number State Code 1CA
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeF
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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