Individual
DR. AZITA FAKHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19100 VENTURA BLVD STE A, TARZANA, CA 91356-3238
(818) 343-0101
(818) 343-0269
Mailing address
19100 VENTURA BLVD STE A, TARZANA, CA 91356-3238
(818) 438-6333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A69052
CA
Other
Enumeration date
06/04/2006
Last updated
06/27/2022
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