Provider Demographics
NPI:1689166977
Name:NAJAR, FAUZI (MD)
Entity Type:Individual
Prefix:
First Name:FAUZI
Middle Name:
Last Name:NAJAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3490 PALM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-1664
Mailing Address - Country:US
Mailing Address - Phone:619-423-5616
Mailing Address - Fax:619-423-5684
Practice Address - Street 1:3490 PALM AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-1664
Practice Address - Country:US
Practice Address - Phone:619-423-5616
Practice Address - Fax:618-423-5684
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1748942083P0901X, 207R00000X
WV390200000X
CAA1744894207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program