Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mariam Fazel

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073034799

Mariam Fazel is an Internal Medicine in West Hollywood, California. Graduated from University of California, Davis School of Medicine in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

West Hollywood, CA
Fax: (310) 423-4683

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4610 X Street, Sacramento, CA 95817 — (916) 816-5141

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A178242 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073034799
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2017
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Hollywood