| Faisal M Qazi | |
|
2895 N Towne Ave Pomona CA 91767-2009 | |
| (909) 267-7495 | |
| (909) 267-7495 |
| Full Name | Faisal M Qazi |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2895 N Towne Ave, Pomona, California |
| Authorized Official Name and Position | Faisal M Qazi (CEO) |
| Authorized Official Contact | 9092677495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faisal M Qazi 2895 N Towne Ave Pomona CA 91767-2009 Ph: (909) 267-7495 | Faisal M Qazi 2895 N Towne Ave Pomona CA 91767-2009 Ph: (909) 267-7495 |
| NPI Number | 1326225186 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 05/27/2015 |
| Medicare PECOS PAC ID | 9335205202 |
|---|---|
| Medicare Enrollment ID | O20090812000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326225186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 20A9169 (California) | Primary |
| Provider Name | Faisal M Qazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275586430 PECOS PAC ID: 6204839863 Enrollment ID: I20060821000324 |
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