Individual
MAGUED RASSEM FADLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23018 VENTURA BLVD, WOODLAND HILLS, CA 91364-1108
(818) 225-0045
(818) 225-0142
Mailing address
11862 BALBOA BLVD, # 195, GRANADA HILLS, CA 91344-2753
(818) 406-7696
(818) 225-0142
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A64236
CA
Other
Enumeration date
05/09/2006
Last updated
07/08/2007
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