Individual
FAHAD F MOMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMD
Contact information
Practice address
1100 N STATE ST # A1B133, LOS ANGELES, CA 90033-5000
(323) 409-5025
Mailing address
695 S SANTA FE AVE APT 726, LOS ANGELES, CA 90021-1371
(281) 650-8643
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2001317
CA
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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