Alan Fozailoff Md Inc

LBN: Alan Fozailoff Md Inc
Alan Fozailoff Md Inc is an health care organization with primary practice located at 18370 Burbank Blvd Suite 211, Tarzana CA 91356-2804. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Alan Fozailoff Md Inc can be contacted via phone (800) 626-2468, or through Fozailoff, Alan via phone (818) 334-5750.

Contact Information

Primary practice address
18370 Burbank Blvd Suite 211 Tarzana CA 91356-2804
Phone: (800) 626-2468
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fozailoff, Alan Doctor of Medicine (MD)
Phone: (818) 334-5750

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A76164 California

Profile Details

NPI number 1568658839
LBN Legal business name Alan Fozailoff Md Inc
DBA Doing business as
Authorized official Fozailoff, Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Aug 30th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568658839 NPPES
California Other 00A761640 BLUE SHIELD
California MEDICAID 00A761640 BLUE SHIELD

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