Magued Fadly M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A64236 Issued in CA

Legal business name

MAGUED FADLY M.D., INC

Practice address

23018 Ventura Blvd
Woodland Hills, CA 91364

Phone

(818) 406-7696

Fax

(818) 225-0142

NPI assigned

Dec 22, 2006

Organization subpart

No

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

Authorized official

Name

Magued R Fadly, M.D.NPI 1194774034

Title

Owner

Phone

(818) 406-7696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Magued Rassem Fadly, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Woodland Hills, CA
  • NPI 1194774034
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407911324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5699",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914135699",
            "telephone_number": "818-406-7696",
            "fax_number": "818-225-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23018 VENTURA BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-406-7696",
            "fax_number": "818-225-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGUED FADLY M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADLY",
        "authorized_official_first_name": "MAGUED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-406-7696",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A64236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamarie Magana
• Maggz Adult Buddy Care
• Salpi Kalayjian Maghakian, LMFT
• Magical Home Health Care Inc
• Kristina Theresa Maglic, MSW, LCSW
• Margaret Rose Maheia
• Maher Al-Bouz Dental Corporation of Woodland Hills
• Brian S Maierhofer
• Michelle L Mailhot
• Sheila Maingi

• Specialist in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.