Provider Demographics
NPI:1578572145
Name:FELAHY-ALAZAWI MEDICAL CORPORATION
Entity Type:Organization
Organization Name:FELAHY-ALAZAWI MEDICAL CORPORATION
Other - Org Name:NEW WOMEN CARE, A MED GRP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAIFA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-529-7550
Mailing Address - Street 1:16660 PARAMOUNT BLVD
Mailing Address - Street 2:105
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-5433
Mailing Address - Country:US
Mailing Address - Phone:562-529-7550
Mailing Address - Fax:562-529-7062
Practice Address - Street 1:16660 PARAMOUNT BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:PARAMOUNT
Practice Address - State:CA
Practice Address - Zip Code:90723-5433
Practice Address - Country:US
Practice Address - Phone:562-529-7550
Practice Address - Fax:562-529-7062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2020-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ11033ZOtherBLUE SHIELD PROVIDER ID
CAEY989AOtherMEDICARE