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Individual

DR. JOSE N FAYAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2100 W THIRD ST, STE III HOUSE EAR CLINIC, LOS ANGELES, CA 90057
(213) 483-9930
Mailing address
PO BOX 2470, HOUSE EAR CLINIC, TEMECULA, CA 92593
(213) 483-9930
(213) 483-0905

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
A53247
CA
207YX0901X
Otology & Neurotology Physician
Primary
A53247
CA

Other

Enumeration date
10/12/2006
Last updated
04/21/2008
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