Healthcare Provider Details

I. General information

NPI: 1366485203
Provider Name (Legal Business Name): FATIMA JANJUA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E. HUNTINGTON DRIVE
ARCADIA CA
91006-3748
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-1884
  • Fax: 626-445-1542
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA78822
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: