Organization
FULLERTON CHEST AND CRTITICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAN KHABAZ M.D. (PRESIDENT OWNER)
(714) 447-7303
Entity
Organization
Contact information
Practice address
1038 E BASTANCHURY RD, SUITE 206, FULLERTON, CA 92835-2786
(714) 447-7303
(714) 996-9267
Mailing address
1038 E BASTANCHURY RD, SUITE 206, FULLERTON, CA 92835-2786
(714) 447-7303
(714) 996-9267
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A69690
CA
207RP1001X
Pulmonary Disease Physician
Primary
A69690
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427159458
INDIVIDUAL NPI
CA
Enumeration date
05/07/2008
Last updated
05/07/2008
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