IndividualActive
Alan Fozailoff, M.D.
NPI 1053331595 · Nephrology Physician · Tarzana, CA
Provider details
- NPI number
- 1053331595
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A76164 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
18370 Burbank Blvd
Suite 211
Tarzana, CA 91356-2804
Phone: (818) 334-5750
Fax: (951) 272-9924
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 77790
Corona, CA 92877-0126
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2017-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.