Faizan Malik, M.D.
Individual provider Active NPI Internal Medicine Physician · Los Angles, CA
NPI 1184150252 · NPPES record last updated Aug 21, 2020
Key facts
- NPI
- 1184150252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A160697 (CA)
- Practice address
- 8700 Beverly Blvd, Suite 5512
Los Angles, CA 90048 - Phone
- (310) 423-5161
- NPI assigned
- May 10, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200902001453 | CA | Order and Referring Only - Internal Medicine |
0143647305 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160697 | CA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A160697 | CA | Yes |
Addresses
Primary practice location
8700 Beverly Blvd, Suite 5512
Los Angles, CA 90048
Mailing address
11301 Wilshire Blvd
Primary Care 10C-1
Los Angles, CA 90073
Phone (103) 478-3711
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All providers in Los Angles, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.