Individual provider · Type 1 NPI

Fady Nabil Elias, MD

Student in an Organized Health Care Education/Training Program · Costa Mesa, CA

NPI number 1063650844 Active

Practice location

720 Paularino Ave Ste 100
Costa Mesa, CA 92626-6917

Call (631) 965-1286 Map

Mailing address

31 Golf Dr
Aliso Viejo, CA 92656-1633

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XELIAS1421 (NY)
General Practice Physician 208D00000XA122000 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063650844

Fady Nabil Elias, MD's National Provider Identifier is 1063650844, issued on Feb 2, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 2, 2013.