Healthcare Provider Details

I. General information

NPI: 1891653705
Provider Name (Legal Business Name): DAVID FOULAD MD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S LASKY DR
BEVERLY HILLS CA
90212-3610
US

IV. Provider business mailing address

201 S LASKY DR
BEVERLY HILLS CA
90212-3610
US

V. Phone/Fax

Practice location:
  • Phone: 818-850-7465
  • Fax:
Mailing address:
  • Phone: 818-850-7465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QG0250X
TaxonomyGenetics Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID STEVEN FOULAD
Title or Position: PRESIDENT, CEO
Credential: MD
Phone: 818-903-5958