Individual
DR. FAIROUZ LEE CHIBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
009045
GA
208600000X
Surgery Physician
A196474
CA
2086X0206X
Surgical Oncology Physician
Primary
A196474
CA
Other
Enumeration date
05/24/2017
Last updated
05/29/2024
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