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Samir I Fasheh

  • Male

Medical Specialty

Professional ID

  • NPI: 1356432686
  • PECOS ID: 0143388785
  • Enrollment ID: I20081025000047
  • Credential(MD, DO, DPM):
  • Medical School:
  • Medical School Graduation Year: 1967

Hospital Service

  • Hospital CCN1: 050056
  • Business Name (LBN)1: Antelope Valley Hospital
  • Hospital CCN2: 050204
  • Business Name (LBN)2: Palmdale Regional Medical Center

Location

  • Address1: 38600 Medical Ctr Dr
  • Address2:
  • City: Palmdale
  • State: California
  • Zip Code: 93551
  • Phone Number: (661)382-5516

Location

  • Address1: 43830 N 10th St W
  • Address2:
  • City: Lancaster
  • State: California
  • Zip Code: 93534
  • Phone Number: (661)948-4781

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):