Organization
ASHRAF FANOUS MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF FANOUS MD (OWNER)
(619) 885-4878
Entity
Organization
Contact information
Practice address
800 THE MARK LN UNIT 1702, SAN DIEGO, CA 92101-7166
(619) 885-4878
Mailing address
800 THE MARK LN UNIT 1702, SAN DIEGO, CA 92101-7166
(619) 885-4878
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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