Faisal, Fawaz
Faisal, Fawaz is an individual health care provider with primary practice located at 1218 W Olive Ave , Burbank CA 91506-2216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Faisal, Fawaz can be contacted via phone (818) 845-2255.Contact Information
Primary practice address
1218 W Olive Ave
Burbank CA 91506-2216
Phone: (818) 845-2255
Fax: (818) 845-2828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A50545 | California |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | A50545 | California |
Profile Details
| NPI number | 1487679361 |
|---|---|
| LBN Legal business name | Faisal, Fawaz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487679361 | NPPES |
| California | MEDICAID | 00A505450 | |
| California | Other | 1649373622 |
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