Provider Demographics
NPI:1912573395
Name:DARWICHE, FAISAL (NP)
Entity Type:Individual
Prefix:MR
First Name:FAISAL
Middle Name:
Last Name:DARWICHE
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 DOVER DR STE 250
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-6900
Mailing Address - Country:US
Mailing Address - Phone:949-945-0906
Mailing Address - Fax:
Practice Address - Street 1:881 DOVER DR STE 250
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-6900
Practice Address - Country:US
Practice Address - Phone:949-945-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95015596363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner