MEDICARE: TALAR FASSIH PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA22788	CA

General Provider Information

NPI Number	:	1417294265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALAR FASSIH PA

Provider Business Mailing Address
First Line	:	PO BOX 179
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91365-0179
Country	:	US
Telephone Number	:	818-631-7399
Fax Number	:

Provider Business Practice Location Address
First Line	:	20905 SHERMAN WAY
Second Line	:
City	:	CANOGA PARK
State	:	CA
Zip	:	91303-1743
Country	:	US
Telephone Number	:	818-564-4961
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	12/14/2021

Similar Medicare Providers

1285742619 — DR. SALAH E ZEIDAN DDS
Practice Location Address:

20913 SHERMAN WAY
CANOGA PARK, CA
91303-1743

Practice Phone: 818-992-4600
Practice Fax:

1487913810 — CANOGA PARK URGENT CARE FAMILY MEDICINE
Practice Location Address:

20905 SHERMAN WAY
CANOGA PARK, CA
91303-1743

Practice Phone: 818-744-4369
Practice Fax: 310-444-0606

1427447028 — ELNAGGAR DDS INC
Practice Location Address:

20913 SHERMAN WAY
CANOGA PARK, CA
91303-1743

Practice Phone: 818-992-4600
Practice Fax: 818-992-4602

1174984058 — DR. LANE CLAYTON THAUT D.O.
Practice Location Address:

1743 S SIDEWINDER DRIVE UNIT 114
PARK CITY, UT
84060

Practice Phone: 307-840-9834
Practice Fax:

1265439376 — MELISSA STRUWE BRILEY MS, PA-C
Practice Location Address:

1743 REDSTONE DRIVE SUITE 115 , REDSTONE HEALTH CENTER
PARK CITY, UT
84098

Practice Phone: 435-658-9200
Practice Fax:

1932185733 — DR. SAIMA M. ALI
Practice Location Address:

1743 PARK CENTER DR STE 300
ORLANDO, FL
32835-7621

Practice Phone: 703-862-4403
Practice Fax:

Directions to “ TALAR FASSIH PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.