Healthcare Provider Details

I. General information

NPI: 1194927152
Provider Name (Legal Business Name): FRONTILNE MEDICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S MACLAY AVE
SAN FERNANDO CA
91340-3603
US

IV. Provider business mailing address

PO BOX 4899
CHATSWORTH CA
91313-4899
US

V. Phone/Fax

Practice location:
  • Phone: 818-700-1250
  • Fax: 818-700-1045
Mailing address:
  • Phone: 818-700-1250
  • Fax: 818-700-1045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MUNIR UWAYDAH
Title or Position: PHYSICIAN
Credential: MD
Phone: 818-700-1250