Individual
MICHELLE REBECCA FOULADIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29229 CANWOOD ST STE 112, AGOURA HILLS, CA 91301-1561
(818) 501-7276
Mailing address
29229 CANWOOD ST STE 112, AGOURA HILLS, CA 91301-1561
(818) 501-7276
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51947
CA
Other
Enumeration date
09/30/2014
Last updated
01/13/2026
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