Alan Fozailoff is a Nephrology in Corona, California. Alan Fozailoff practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Alan Fozailoff is 1053331595. The last update date is 2017-01-10.
Alan Fozailoff's current location address is Po Box 77790, Corona, California. You can contact this provider via phone number 9512785590 and fax number 9512729924. The mailing address for Alan Fozailoff is Po Box 77790, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan Fozailoff |
|---|---|
| Address | Po Box 77790, Corona, California |
| Phone Number | 9512785590 |
| Fax Number | 9512729924 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053331595 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2017-01-10 |
Provider Mailing Address Detail
| Address | Po Box 77790 |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928770126 |
| Phone Number | 9512785590 |
| Fax Number | 9512729924 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A76164 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A761640 | CA | BLUE SHILELD | |
| 00A761640 | CA | -- | |
| A76164 | CA | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Alan Fozailoff by the Centers for Medicare & Medicaid Services?
The Alan Fozailoff has been issued the NPI (National Provider Identifier) 1053331595. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Alan Fozailoff is geographically located?
The Alan Fozailoff is physically situated at the following location: Po Box 77790, Corona, CA, 928770126.
What is the area of specialization for Alan Fozailoff, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alan Fozailoff is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.
On what date did the Alan Fozailoff receive its 1053331595 assignment from the Centers for Medicare & Medicaid Services?
The Alan Fozailoff was assigned its 1053331595 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date were the Alan Fozailoff's details last updated?
The information pertaining to the Alan Fozailoff, including its address, specialty, and other details, was most recently updated on 2017-01-10.