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General NPI Number Information
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NPI Number | 1649373622
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Entity Type | Organization
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Legal Business Name | F AL FAISAL MD INC
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 1218 W OLIVE AVE
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City | BURBANK
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State | CA
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Zip | 91506-2216
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Country | US
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Telephone | 818-845-2255
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Fax | 818-845-2828
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Provider Business Mailing Address
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Address Line | 1218 W OLIVE AVE
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City | BURBANK
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State | CA
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Zip | 91506-2216
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Country | US
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Telephone | 818-845-2255
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Fax | 818-845-2828
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. FAWAZ FAISAL
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Credential | M.D.
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Telephone | 818-845-2255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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