Provider Demographics
NPI:1710027446
Name:FAIZ, ZAREEN (MD)
Entity type:Individual
Prefix:MRS
First Name:ZAREEN
Middle Name:
Last Name:FAIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 FLORENCE AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3946
Mailing Address - Country:US
Mailing Address - Phone:562-862-2778
Mailing Address - Fax:562-862-7649
Practice Address - Street 1:8301 FLORENCE AVE
Practice Address - Street 2:101
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3946
Practice Address - Country:US
Practice Address - Phone:562-862-2778
Practice Address - Fax:562-862-7649
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37287174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A372871Medicaid
CAGR0077220Medicaid
CAA37287OtherLICENCE NUMBER
CAGR0077220Medicaid