ALAN FOZAILOFF, M.D.
Osteopathic Medicine at Burbank Blvd, Los Angeles, CA

License number
California A76164
Category
Osteopathic Medicine
Type
Nephrology
Address
Address 2
18370 Burbank Blvd SUITE 211, Los Angeles, CA 91356
PO Box 77790, Corona, CA 92877
Phone
(818) 334-5750
(951) 272-9924 (Fax)
(951) 278-5590
National Provider ID: 1053331595
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Alan Fozailoff, M.D., Inc

Van Nuys, CA  -  Los Angeles, CA

Doing business as:
Alan Fozailoff MD
Registration:
May 18, 2004
Phone:
(818) 232-5670 (Phone)
Addresses:
16311 Ventura Blvd, Van Nuys, CA 91436
PO Box 480443, Los Angeles, CA 90048
State ID:
C2652896
Business type:
Articles of Incorporation
Presidents:
Fozailoff Alan (President),Alan Fozailoff President, inactive
Agent:
Terry Magdy, Esq,Los Angeles, CA 90064 (Physical)

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