{"npi":"1669608790","type":"NPI-1","status":"active","name":{"display":"Dr. Farah Awadalla MD","other":[{"code":"5","type":"Also known as","value":"AWADALLA, BOBBY"}],"first":"FARAH","last":"AWADALLA","middle":"C","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"CA","license":"A125067"},{"code":"207NP0225X","description":"Pediatric Dermatology Physician","primary":false,"state":"CA","license":"A125067"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"CA","license":"A125067"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"CA","license":"A125067"}]},"addresses":[{"purpose":"LOCATION","street_1":"27800 MEDICAL CENTER RD STE 220","city":"MISSION VIEJO","state":"CA","postal_code":"926916408","country_code":"US","phone":"9495456605","fax":"9493267509"},{"purpose":"MAILING","street_1":"27800 MEDICAL CENTER RD STE 220","city":"MISSION VIEJO","state":"CA","postal_code":"926916408","country_code":"US","phone":"9495456605","fax":"9493267509"}],"license":{"state":"CA","number":"A125067"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130614000463","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"CA","pac_id":"5193964583"},{"enrlmt_id":"I20180515002760","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"AZ","pac_id":"5193964583"},{"enrlmt_id":"I20181107003657","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"NV","pac_id":"5193964583"}]},"enumeration_date":"2009-06-03","last_updated":"2024-11-13","_meta":{"source":"NPPES","snapshot_date":"2024-11-13","doc_url":"https://findmynpi.com/api"}}