Basic Information
Provider Information
NPI: 1356684385
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BABARY
FirstName: HAMAYON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
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Mailing Information
Address1: 15451 SAN FERNANDO MISSION BLVD STE 200
Address2:  
City: MISSION HILLS
State: CA
PostalCode: 913451395
CountryCode: US
TelephoneNumber: 8184667396
FaxNumber:  
Practice Location
Address1: FACEY MEDICAL GROUP
Address2: 14550 SOLEDAD CANYON ROAD
City: SANTA CLARITA
State: CA
PostalCode: 91387
CountryCode: US
TelephoneNumber: 6612505200
FaxNumber: 6162507585
Other Information
ProviderEnumerationDate: 03/27/2013
LastUpdateDate: 07/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XA140086CAY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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