| Doctor Name: | DR. FAWZY SAMY BASTA |
| NPI Number: | 1043394505 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A42961 |
| Business Practice Address: | 17075 Devonshire St Ste 204 Northridge, CA - 913255408 |
| Business Phone Number: | 8183688929 |
| Business Fax Number: | 8183688940 |
| Mailing Address: | 17075 Devonshire St, Ste 204 NORTHRIDGE |
| State: | CA |
| Postal Code: | 913251600 |
| Phone Number: | 8183688929 |
| Fax Number: | 8183688940 |
| NPI Enumeration Date: | 10/24/2006 |
| NPI Last Update Date: | 01/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0800X |
| License Number: | A42961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Psychiatry |
| Taxonomy Definition: | A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |