Organization
FAZEELA FEROUZ MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAZEELA FEROUZ M.D. (PRESIDENT)
(949) 599-4509
Entity
Organization
Contact information
Practice address
10760 WARNER AVE STE 102, FOUNTAIN VALLEY, CA 92708-3845
(714) 274-0388
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G85633
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G85633
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G856330
—
CA
Enumeration date
10/03/2006
Last updated
03/25/2025
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