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

Maryam Fakhrai

Individual provider Obstetrics & Gynecology Physician · NPI 1023413903

Maryam Fakhrai is an Obstetrics/Gynecology in Los Angeles, California. Qualified in 2013, 13 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
13
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone: (949) 510-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 133448 (CA)

Record details

NPI number1023413903
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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