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Individual

FAWAZ FAISAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1218 W OLIVE AVE, BURBANK, CA 91506-2216
(818) 845-2255
(818) 845-2828
Mailing address
1220 W OLIVE AVE, BURBANK, CA 91506-2216
(818) 845-2255
(818) 845-2828

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A50545
CA
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
A50545
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A505450
CA
01
1649373622
NPI
CA
Enumeration date
07/13/2006
Last updated
11/26/2018
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