1710027446 NPI number — MRS. ZAREEN FAIZ M.D.

Table of content: MRS. ZAREEN FAIZ M.D. (NPI 1710027446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710027446 NPI number — MRS. ZAREEN FAIZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FAIZ
Provider First Name:
ZAREEN
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710027446
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8301 FLORENCE AVE
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
DOWNEY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90240-3946
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-862-2778
Provider Business Mailing Address Fax Number:
562-862-7649

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8301 FLORENCE AVE
Provider Second Line Business Practice Location Address:
101
Provider Business Practice Location Address City Name:
DOWNEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90240-3946
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-862-2778
Provider Business Practice Location Address Fax Number:
562-862-7649
Provider Enumeration Date:
02/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  A37287 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A372871 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: GR0077220 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: A37287 . This is a "LICENCE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com