G. Fazilat, INC

NPI #1275841223 in Lake Forest, California

Provider Information

NPI Number: 1275841223
Entity Type: Organization
Organization Name: G. Fazilat, INC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 23, 2010
Last Updated: Feb 21, 2018

Practice Location

Address: 23832 ROCKFIELD BLVD STE 150
City: Lake Forest
State: California
ZIP Code: 92630-2820
Phone: (949) 502-3333

Authorized Official

Name: GOLAREH FAZILAT, MD
Title: OWNER/PHYSICIAN
Phone: (949) 502-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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