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Individual

DR. FAYEGH VAKILI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4477 W 118TH ST, SUITE 503, HAWTHORNE, CA 90250-2255
(310) 644-3500
(310) 644-0877
Mailing address
4477 W 118TH ST STE 405, HAWTHORNE, CA 90250-2259
(310) 644-3500
(310) 644-0877

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A39870
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
954032272
TAX ID NO.
CA
Enumeration date
09/25/2006
Last updated
12/28/2021
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