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MR. DOUGLAS LEE FAISON PA-C NPI 1396717492


NPI Information

NPI: 1396717492
Provider Name: MR. DOUGLAS LEE FAISON, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
35000 GUADALCANAL AVE
BRANCH MEDICAL CLINIC, MCRD BLD 596
SAN DIEGO, CA
ZIP 92140
Phone: (619) 524-0789
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MR. Douglas Lee Faison, PA-C is a medical physician assistant in San Diego, CA. MR. Douglas Lee Faison, PA-C NPI is 1396717492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35000 GUADALCANAL AVE
BRANCH MEDICAL CLINIC, MCRD BLD 596
SAN DIEGO, CA
ZIP 92140-599
Phone: (619) 524-0789

The enumeration date for this NPI number is 2/2/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical1032153GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.