Individual
ALISAN FATHALIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.134132
OH
208600000X
Surgery Physician
Primary
C203020
CA
208600000X
Surgery Physician
MT203559
PA
Other
Enumeration date
06/20/2013
Last updated
11/21/2025
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