Healthcare Provider Details

I. General information

NPI: 1700792843
Provider Name (Legal Business Name): DR. EVA FAIZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39650 LIBERTY ST STE 140
FREMONT CA
94538-2225
US

IV. Provider business mailing address

922 CHESTNUT ST APT 6
ALAMEDA CA
94501-4343
US

V. Phone/Fax

Practice location:
  • Phone: 510-490-1222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number308809
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: