Individual
JANE CHRISTINE FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365B, LOS ANGELES, CA 90095-1007
(310) 825-7921
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A170295
CA
207RP1001X
Pulmonary Disease Physician
Primary
A170295
CA
Other
Enumeration date
03/20/2017
Last updated
09/21/2023
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