MEDICARE: DR. FAISAL LALANI MD

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	207R00000X	Internal Medicine Physician	PG#81647	AZ
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	A100812	CA
3	207L00000X	Anesthesiology Physician	A100812	CA

General Provider Information

NPI Number	:	1528252558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAISAL LALANI MD

Provider Business Mailing Address
First Line	:	1964 WESTWOOD BLVD
Second Line	:	SUITE 435
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4651
Country	:	US
Telephone Number	:	310-856-9488
Fax Number	:	310-817-6402

Provider Business Practice Location Address
First Line	:	1964 WESTWOOD BLVD
Second Line	:	SUITE 435
City	:	LOS ANGELES
State	:	CA
Zip	:	90025-4651
Country	:	US
Telephone Number	:	310-856-9488
Fax Number	:	310-817-6402

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

Provider Enumeration Date	:	09/03/2007
Last Update Date	:	04/27/2016

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