Healthcare Provider Details

I. General information

NPI: 1922921576
Provider Name (Legal Business Name): FADYH ATTIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39683 RANCHWOOD DR
MURRIETA CA
92563-5310
US

IV. Provider business mailing address

39683 RANCHWOOD DR
MURRIETA CA
92563-5310
US

V. Phone/Fax

Practice location:
  • Phone: 951-588-4687
  • Fax:
Mailing address:
  • Phone: 951-588-4687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number422807703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: