| Dr Payman Fathizadeh, MD | |
|
14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | |
| (818) 364-3031 | |
| Not Available |
| Full Name | Dr Payman Fathizadeh |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology |
| Location | 14445 Olive View Dr Rm 6b119-h, Sylmar, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487845723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0101X | Pathology - Anatomic Pathology | A89168 (California) | Primary |
| Entity Name | County Of Los Angeles |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Payman Fathizadeh, MD 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 Ph: (818) 364-3031 | Dr Payman Fathizadeh, MD 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 Ph: (818) 364-3031 |
Dr. Paul I Liu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Room 1a116, Sylmar, CA 91342 Phone: 818-364-4033 | |
Dr. Deepthi Kumari Karunasiri, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342 Phone: 818-364-3031 | |
Dr. Frank Degregorio, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr Rm 1a116, Sylmar, CA 91342 Phone: 818-364-4033 | |
John Charles Sacoolidge, MD Pathology Medicare: Medicare Enrolled Practice Location: 14445 Olive View Drive, Room 1a 133 Olive View Ucla Medical Center, Sylmar, CA 91342 Phone: 818-364-4036 Fax: 818-364-4065 | |
Dr. Suvarna A. Deshmukh-rane, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr, Sylmar, CA 91342 Phone: 818-364-4033 | |
Dr. Joanna Young, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 14445 Olive View Dr. 1a133, Olive View Medical Center Department Of Pathology, Sylmar, CA 91342 Phone: 818-364-3532 |