FAZILATH FATIMA

FOUNTAIN VALLEY, CA
NPI1962429571
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  C133691)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301079615)
208M00000X Hospitalist
(Licence: MI  4301079615)
208M00000X Hospitalist
(Licence: OH  35.097068)
208M00000X Hospitalist
(Licence: CA  C133691)
Enumeration Date2006-07-17
Last Update Date2016-08-09
Business Address
-- FAZILATH FATIMA MD
17360 BROOKHURST ST
FOUNTAIN VALLEY, CA 92708-3720
Phone number: 657-241-3592
Mailing Address
-- FAZILATH FATIMA MD
17360 BROOKHURST ST ATTN: CREDENTIALING DEPARTMENT
FOUNTAIN VALLEY, CA 92708-3720
Phone number: