Most Relevant Information
Provider Data
| NPI Number: | 1003235540 |
| Provider Name: | SASAN FAZELI M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | MD045237 |
Most Important Dates
| Enumeration Date: | 04/14/2014 |
| Last Updated: | 12/10/2020 |
Provider Practice Location
1500 DUARTE RD
DUARTE
CA
910103012
Practice Location Phone/Fax
| Phone: | 6262564673 |
| Fax: | 6264083911 |
Provider Mailing Location
PO BOX 512185
LOS ANGELES
CA
900510185
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Internist EMR