Mohamed Hassan Fayek MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A72282 Issued in CA

Legal business name

MOHAMED HASSAN FAYEK MD INC

Practice address

28 Monarch Bay PLZ
Suite N
Dana Point, CA 92629-3460

Phone

(949) 489-5564

Fax

(949) 496-8872

NPI assigned

Jun 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Hassan Fayek, M.D.

Title

Owner

Phone

(949) 542-7770

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1124348297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ",
            "address_2": "SUITE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-489-5564",
            "fax_number": "949-496-8872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ",
            "address_2": "SUITE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-489-5564",
            "fax_number": "949-496-8872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED HASSAN FAYEK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "FAYEK",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-542-7770",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A72282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Dana Point, CA
• Providers in Dana Point, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.