Individual
FAWZI S KHAYAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 206-6766
Mailing address
653 S LAKE AVE, #5, PASADENA, CA 91106-3952
(310) 206-6766
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
234885
MA
Other
Enumeration date
04/11/2008
Last updated
12/20/2021
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