Provider Demographics
NPI:1528005287
Name:GHALY, FOUAD I (MD)
Entity Type:Individual
Prefix:DR
First Name:FOUAD
Middle Name:I
Last Name:GHALY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4201 TORRANCE BLVD
Mailing Address - Street 2:SUITE 590
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4504
Mailing Address - Country:US
Mailing Address - Phone:310-540-0300
Mailing Address - Fax:310-540-0800
Practice Address - Street 1:4201 TORRANCE BLVD
Practice Address - Street 2:SUITE 590
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-4504
Practice Address - Country:US
Practice Address - Phone:310-540-0300
Practice Address - Fax:310-540-0800
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC39588B207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC39588BMedicare ID - Type Unspecified