Faraci, Philip Angelo
Faraci, Philip Angelo is an individual health care provider with primary practice located at 215 W Janss Rd , Thousand Oaks CA 91360-1847. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Faraci, Philip Angelo can be contacted via phone (805) 852-9100.Contact Information
Primary practice address
215 W Janss Rd
Thousand Oaks CA 91360-1847
Phone: (805) 852-9100
Fax: (805) 852-9101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01034774A | Indiana |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 036079395 | Illinois |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G23163 | California |
Profile Details
| NPI number | 1851391593 |
|---|---|
| LBN Legal business name | Faraci, Philip Angelo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Jan 18th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851391593 | NPPES |
| Indiana | MEDICAID | 200060900A | |
| Indiana | Other | 01618941 | |
| Indiana | MEDICAID | 200060900B | |
| Indiana | MEDICAID | 036079395 |
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