Provider Demographics
NPI:1487891446
Name:FADI CHAHIN, M.D. INC
Entity type:Organization
Organization Name:FADI CHAHIN, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FADI
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAHIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-274-2763
Mailing Address - Street 1:433 N CAMDEN DR
Mailing Address - Street 2:SUITE 1170
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4409
Mailing Address - Country:US
Mailing Address - Phone:310-274-2763
Mailing Address - Fax:310-275-0477
Practice Address - Street 1:433 N CAMDEN DR
Practice Address - Street 2:SUITE 1170
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4409
Practice Address - Country:US
Practice Address - Phone:310-274-2763
Practice Address - Fax:310-275-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83794174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty