ALAN FOZAILOFF MD INC NPI 1568658839

NPI Information

NPI: 1568658839
Provider Name: ALAN FOZAILOFF MD INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
18370 BURBANK BLVD
SUITE 211
TARZANA, CA
ZIP 91356
Phone: (800) 626-2468
Get Directions

ALAN FOZAILOFF MD INC is a nephrology internal medicine in Tarzana, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. ALAN FOZAILOFF MD INC NPI is 1568658839. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18370 BURBANK BLVD
SUITE 211
TARZANA, CA
ZIP 91356-804
Phone: (800) 626-2468

The provider's authorized official is Alan Fozailoff .
The authorized official title is President and has the following contact phone number (818) 334-5750.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 8/30/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	A76164	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00A761640	OTHER	CALIFORNIA	BLUE SHIELD
2	00A761640	MEDICAID	CALIFORNIA
3	W17398	MEDICARE PIN	CALIFORNIA
4	H15088	MEDICARE UPIN	CALIFORNIA

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

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