Fathi, Roya
Fathi, Roya is an sole proprietor health care provider with primary practice located at 28901 Canmore St , Agoura Hills CA 91301-1716. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Fathi, Roya can be contacted via phone (312) 351-0420.Contact Information
Primary practice address
28901 Canmore St
Agoura Hills CA 91301-1716
Phone: (312) 351-0420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | A124602 | California |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | C12-0000037 | Delaware |
Profile Details
| NPI number | 1801104179 |
|---|---|
| LBN Legal business name | Fathi, Roya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2010 |
| Last updated | Apr 25th, 2024 - about 8 months 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 | 1801104179 | NPPES |
| California | Other | 1801104179 | NPI |
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