Individual
HABIB FATOLOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18318 SHERMAN WAY, RESEDA, CA 91335-4442
(818) 757-7246
(818) 757-3024
Mailing address
18318 SHERMAN WAY, RESEDA, CA 91335-4442
(818) 757-7246
(310) 757-3024
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A48895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A48895
MEDICAL LICENSE
CA
Enumeration date
10/03/2006
Last updated
07/08/2007
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