Doctor Name: | DR. AMIN R FAWWAZ |
NPI Number: | 1134271380 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C39280 |
Business Practice Address: | 3010 W Orange Ave Suite 408 Anaheim, CA - 928043169 |
Business Phone Number: | 7149951866 |
Business Fax Number: | |
Mailing Address: | 3010 W Orange Ave, Suite 408 ANAHEIM |
State: | CA |
Postal Code: | 928043169 |
Phone Number: | 7149951866 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | C39280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |