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General NPI Number Information
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NPI Number | 1366914756
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Entity Type | Individual
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Provider Name | SANAM FAZEL DC
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Gender | Female
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Dates
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Enumeration Date | 12/22/2018
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2428 SANTA MONICA BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90404-2045
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Country | US
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Telephone | 714-930-5442
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Fax |
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Provider Business Mailing Address
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Address Line | 3579 ARLINGTON AVE SUITE #100
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City | RIVERSIDE
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State | CA
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Zip | 92506-3915
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Country | US
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Telephone | 951-782-8369
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Fax | 951-782-8378
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC34392
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License Number State | CA
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