Roya Fathi, MD | |
28901 Canmore St, Agoura Hills, CA 91301-1716 | |
(312) 351-0420 | |
Not Available |
Full Name | Roya Fathi |
---|---|
Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 28901 Canmore St, Agoura Hills, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801104179 | NPI | - | NPPES |
1801104179 | Other | CA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | A124602 (California) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | C12-0000037 (Delaware) | Secondary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | Plushcare Of California Inc A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811378987 PECOS PAC ID: 2365707163 Enrollment ID: O20180529000602 |
Mailing Address | Practice Location Address |
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Roya Fathi, MD 28901 Canmore St, Agoura Hills, CA 91301-1716 Ph: (312) 351-0420 | Roya Fathi, MD 28901 Canmore St, Agoura Hills, CA 91301-1716 Ph: (312) 351-0420 |
Dr. Penny Jean Chong, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 29525 Canwood St, Suite 205, Agoura Hills, CA 91301 Phone: 818-781-5195 | |
Dr. Geoffrey A Booth, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 28632 Roadside Dr Ste 235, Agoura Hills, CA 91301 Phone: 310-801-0092 | |
Maria Jan, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368 | |
Dr. Jack M. Gindi, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 29525 Canwood St, Suite # 209, Agoura Hills, CA 91301 Phone: 818-706-7773 Fax: 818-706-0390 | |
Ruby C Simpkins, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 28240 Agoura Rd, Suite 201, Agoura Hills, CA 91301 Phone: 818-991-9800 Fax: 818-991-9814 | |
Dr. David Moskowitz, MD Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 29525 Canwood St, Suite 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368 |