Healthcare Provider Details

I. General information

NPI: 1740672823
Provider Name (Legal Business Name): TALI F FAYFEL APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7355 TOPANGA CANYON BLVD STE 501
CANOGA PARK CA
91303-1244
US

IV. Provider business mailing address

7355 TOPANGA CANYON BLVD STE 501
CANOGA PARK CA
91303-1244
US

V. Phone/Fax

Practice location:
  • Phone: 310-883-3993
  • Fax: 818-762-7117
Mailing address:
  • Phone: 310-883-3993
  • Fax: 818-762-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number23020
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number23020
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number23020
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MRS. TALI FAYFEL
Title or Position: NURSE PRACTITIONER
Credential: NP-C
Phone: 310-883-3993