Zarghona Fazli, | |
1761 Broadway St Ste 200, Vallejo, CA 94589-2227 | |
(707) 645-2500 | |
Not Available |
Full Name | Zarghona Fazli |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1761 Broadway St Ste 200, Vallejo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992487680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Zarghona Fazli, 1761 Broadway St Ste 200, Vallejo, CA 94589-2227 Ph: (707) 645-2500 | Zarghona Fazli, 1761 Broadway St Ste 200, Vallejo, CA 94589-2227 Ph: (707) 645-2500 |
Champa Sreenivas, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St Ste 200, Vallejo, CA 94589 Phone: 707-645-2500 | |
Lisa Michelle Termansen, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Suite 200, Vallejo, CA 94589 Phone: 707-645-2500 | |
Dallas Rose Innis, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2500 |