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Organization
ROMMIE F. FAKHOURY MD INC
Active
Organization
ROMMIE F. FAKHOURY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMMIE F FAKHOURY MD (PRESIDENT)
(909) 989-7100
Entity
Organization
Contact information
Practice address
10601 CHURCH ST, SUITE 110, RANCHO CUCAMONGA, CA 91730-6863
(909) 989-7100
(909) 989-6333
Mailing address
10601 CHURCH ST, SUITE 110, RANCHO CUCAMONGA, CA 91730-6863
(909) 989-7100
(909) 989-6333
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A89167
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A89167
CA MEDIAL LICENSE
CA
Enumeration date
08/07/2012
Last updated
09/15/2017
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