FAWZY SAMY BASTA

NORTHRIDGE, CA
NPI1043394505
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  A42961)
Enumeration Date2006-10-24
Last Update Date2012-01-20
Business Address
Dr. FAWZY SAMY BASTA MD
17075 DEVONSHIRE ST STE 204
NORTHRIDGE, CA 91325-5408
Phone number: 818-368-8929
Mailing Address
Dr. FAWZY SAMY BASTA MD
17075 DEVONSHIRE ST STE 204
NORTHRIDGE, CA 91325-1600
Phone number: 818-368-8929
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