Doctor Name: | SAMIR I FASHEH |
NPI Number: | 1356432686 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A48506 |
Business Practice Address: | 43845 N 10th St W Suite 2e Lancaster, CA - 93534 |
Business Phone Number: | 6619401469 |
Business Fax Number: | 6619439809 |
Mailing Address: | 4012 Dee Dee Court, LANCASTER |
State: | CA |
Postal Code: | 93536 |
Phone Number: | 6619401469 |
Fax Number: | 6619439809 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A48506 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |