Provider Demographics
NPI:1407968985
Name:KAUSAR, FAUZIA (AUD, MA)
Entity Type:Individual
Prefix:DR
First Name:FAUZIA
Middle Name:
Last Name:KAUSAR
Suffix:
Gender:F
Credentials:AUD, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5912 BOLSA AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-1146
Mailing Address - Country:US
Mailing Address - Phone:714-898-5732
Mailing Address - Fax:714-901-4058
Practice Address - Street 1:11180 WARNER AVE
Practice Address - Street 2:SUITE 263
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7501
Practice Address - Country:US
Practice Address - Phone:714-378-1000
Practice Address - Fax:714-378-0190
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2014-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY862231H00000X
CA2952231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist