Provider Demographics
NPI:1508961491
Name:FAIZ, SAMIA (MD)
Entity Type:Individual
Prefix:
First Name:SAMIA
Middle Name:
Last Name:FAIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT. LA 23039
Mailing Address - Street 2:ATTENTION: MAGGIE NOLES MS 6160
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91185-3039
Mailing Address - Country:US
Mailing Address - Phone:562-696-1104
Mailing Address - Fax:562-696-2885
Practice Address - Street 1:14350 WHITTIER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-2138
Practice Address - Country:US
Practice Address - Phone:562-696-1104
Practice Address - Fax:562-696-2885
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72188207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-467-029-5OtherECFMG
0-467-029-5OtherECFMG